Individual provider Active NPI

Michael Stephens, FNP-C

  • Family Nurse Practitioner
  • Picayune, MS
National Provider Identifier
1508470568
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904407 Issued in MS
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

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

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 Hospital, Slidell, LA, CCN 190040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 23, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jul 29, 2021 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jul 29, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 23, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.