Active NPI
Michael Stephens, FNP-C
- Family Nurse Practitioner
- Picayune, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904407
- Practice address
- 1839 Cooper Rd Ste 100
Picayune, MS 39466-2836 - Phone
- (769) 242-1700
- NPI assigned
- Sep 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 904407 | MS | Primary |
Addresses
Primary practice location
1839 Cooper Rd Ste 100
Picayune, MS 39466-2836
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428002721 | MS | Practitioner - Nurse Practitioner | 8022427210 | Reassigns benefits to 1 organization |
| I20240803000211 | LA | Practitioner - Nurse Practitioner | 8022427210 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1839 Cooper Rd
Picayune, MS 39466-2835
Phone (601) 651-3500
2375 Gause Blvd E
Pelican Urgent Care
Slidell, LA 70461-4142
Phone (985) 645-9000
Hospital & facility affiliations
- Slidell Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
804 Heavens Dr
Ste 102
Mandeville, LA 70471
Phone (985) 792-1141
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211
1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500
1839 Cooper Rd
Picayune, MS 39466
Phone (601) 651-3500
Interoperability endpoints
- mstephens@direct.mhg.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Internal Medicine Physician
- McComb, MS
- NPI 1972009363
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Internal Medicine Physician
- Slidell, LA
- NPI 1548959679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1508470568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 COOPER RD STE 100",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662836",
"telephone_number": "769-242-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHAEL",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-06",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.