Individual provider Active NPI

Kristie Rushing, FNP-C

  • Nurse Practitioner
  • Wiggins, MS
National Provider Identifier
1619558251
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904033 Issued in MS
Practice address
1130 Frontage Dr W
Wiggins, MS 39577-8165
Phone
(601) 716-8012
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904033 MS Primary

Addresses

Primary practice location

1130 Frontage Dr W
Wiggins, MS 39577-8165

Mailing address

27 Lake Forgetful Apt 823
Hattiesburg, MS 39402-8636
Phone (228) 239-8210

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
I20210526000733 MS Practitioner - Nurse Practitioner 4880093772 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxem Health Urgent Care MageeGroup PAC ID 9537419643, 16 clinicians
Hattiesburg Urgent Care LLCGroup PAC ID 4981913308, 19 clinicians
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

1529 Simpson Hwy 49
Magee, MS 39111-4209
Phone (601) 439-7288

6101 U S Hwy 49
Hattiesburg, MS 39401-7158

6101 U S Hwy 49
Hattiesburg, MS 39402-7158
Phone (228) 223-1927

921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Urgent Care, LLC CurrentSince Jan 24, 2023 Accepting new patients
Pascagoula Urgent Care CurrentSince Feb 15, 2023 Accepting new patients
Maxem Health Urgent Care McComb CurrentSince Feb 9, 2023 Accepting new patients
Maxem Health Urgent Care Magee CurrentSince May 3, 2023 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince Jun 20, 2023 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Picayune Urgent Care Clinic, LLC CurrentSince Nov 8, 2023 Accepting new patients
Orange Grove Urgent Care CurrentSince Nov 12, 2023 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince May 1, 2021 Accepting new patients
Ocean Springs Urgent Care CurrentSince Jul 5, 2023 Accepting new patients
Gulfport 49 Imaging, LLC PastSince May 9, 2021 Accepting new patients

Locations

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

1529 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-7288

101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730

422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1619558251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAKE FORGETFUL APT 823",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028636",
            "telephone_number": "228-239-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 FRONTAGE DR W",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778165",
            "telephone_number": "601-716-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "KRISTIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

Verify at the official NPI Registry.