Individual provider Active NPI

Jennifer Duncan

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1649647256
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860058 Issued in MS
Practice address
15200 Community Rd
Gulfport, MS 39503-3085
Phone
(228) 575-7120
Fax
(228) 575-7103
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO8725 LA
Family Nurse Practitioner 363LF0000X R860058 MS Primary

Addresses

Primary practice location

15200 Community Rd
Gulfport, MS 39503-3085

Mailing address

1150 S Beach Blvd
Waveland, MS 39576-3501
Phone (228) 493-0947

Other practice location 1

73015 Highway 25 Ste A
Covington, LA 70435-5694
Phone (985) 400-5370

Other practice location 2

12000 Highway 57
Vancleave, MS 39565-8235
Phone (228) 283-5045

Other names 1

  • Jennifer A Duncan Professional name

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
I20160212001915 MS Practitioner - Nurse Practitioner 4688978547 Reassigns benefits to 3 organizations
I20170117001404 LA Practitioner - Nurse Practitioner 4688978547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Urgent CareGroup PAC ID 0547677858, 5 clinicians

Practice addresses (Care Compare)

12000 Hwy 57
Vancleave, MS 39565-8235
Phone (228) 283-5045

73015 Hwy 25
Suite a
Covington, LA 70435-5694
Phone (985) 400-5370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO8725LAMDFamily Nurse Practitioner
R860058MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pascagoula Urgent Care CurrentSince Jan 1, 2016 Accepting new patients
Maxem Health Urgent Care Slidell CurrentSince Feb 1, 2020 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
Total Health Urgent Care CurrentSince May 24, 2018 Accepting new patients

Locations

73015 Highway 25
Ste A
Covington, LA 70435
Phone (985) 246-2420

3810 Highway 22
Mandeville, LA 70471

170 Northshore Blvd
Slidell, LA 70460
Phone (985) 641-1228

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

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

12000 Highway 57
Vancleave, MS 39565
Phone (228) 205-4000

Organizations & group practices 5

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1649647256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S BEACH BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395763501",
            "telephone_number": "228-493-0947",
            "fax_number": "228-575-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7120",
            "fax_number": "228-575-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73015 Highway 25 Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704355694",
            "country_code": "US",
            "telephone_number": "985-400-5370",
            "fax_number": "985-400-5041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 Highway 57",
            "address_purpose": "LOCATION",
            "city": "Vancleave",
            "state": "MS",
            "postal_code": "395658235",
            "country_code": "US",
            "telephone_number": "228-283-5045",
            "fax_number": "228-283-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO8725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUNCAN",
            "middle_name": "A",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.