Individual provider Active NPI

Mercedes Peeples, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vaiden, MS
National Provider Identifier
1639901523
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906885 Issued in MS
Practice address
4368 County Road 87
Vaiden, MS 39176-5152
Phone
(662) 809-9779
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906885 MS Primary

Addresses

Primary practice location

4368 County Road 87
Vaiden, MS 39176-5152

Mailing address

4368 County Road 87
Vaiden, MS 39176-5152
Phone (662) 809-9779

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
I20250924002729 MS Practitioner - Nurse Practitioner 5991212664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

152 Hwy 7 S
Communicare
Oxford, MS 38655-5392
Phone 662234752136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906885MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Commission on Mental Illness/Mental Retardation CurrentSince Jul 22, 2025 Accepting new patients
North Mississippi Commission on Mental Illness/Mental Retardation CurrentSince Jul 22, 2025 Accepting new patients

Locations

152 Highway 7 S
Oxford, MS 38655
Phone (662) 234-7237

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Middleton Oaks Health and RehabilitationWinona, MS, CCN 255171 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1639901523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 COUNTY ROAD 87",
            "city": "VAIDEN",
            "state": "MS",
            "postal_code": "391765152",
            "telephone_number": "662-809-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 COUNTY ROAD 87",
            "city": "VAIDEN",
            "state": "MS",
            "postal_code": "391765152",
            "telephone_number": "662-809-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "MERCEDES",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vaiden, MS

Sources for this page

Verify at the official NPI Registry.