Individual provider Active NPI

Staci Renee Hess, NP

  • Women's Health Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1497925465
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R875666 Issued in MS
Practice address
1009 Benigno Lane
Bay St Louis, MS 39520
Phone
(228) 467-2555
Fax
(228) 467-5480
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R875666 MS Primary

Addresses

Primary practice location

1009 Benigno Lane
Bay St Louis, MS 39520

Mailing address

PO Box 2778
Bay St Louis, MS 39520
Phone (228) 467-2555

Other names 1

  • Staci Lumpkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000637 MS Practitioner - Nurse Practitioner 4981740131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
87.65
Promoting interoperability
100
Improvement activities
40
Cost
74.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R875666MSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Community Hospital Physicians CurrentSince Dec 3, 2017 Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

128 Highland Pkwy
Ste 202
Picayune, MS 39466
Phone (601) 358-9422

128 Highland Pkwy
Ste 201
Picayune, MS 39466

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1497925465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2778",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2555",
            "fax_number": "228-467-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BENIGNO LANE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2555",
            "fax_number": "228-467-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "STACI",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R875666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "LUMPKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.