Individual provider Active NPI

Mary Elizabeth Harter, FNP

  • Nurse Practitioner
  • Moss Point, MS
National Provider Identifier
1669412052
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
I-085233 Issued in AL
Practice address
4770 Amoco Dr
Moss Point, MS 39563-9627
Phone
(228) 474-9511
Fax
(228) 474-9506
NPI assigned
Jun 7, 2006
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X I-085233 AL Primary
Nurse Practitioner 363L00000X R213146-9 MN

Addresses

Primary practice location

4770 Amoco Dr
Moss Point, MS 39563-9627

Mailing address

4770 Amoco Dr
Moss Point, MS 39563-9627
Phone (228) 474-9511

Other names 1

  • Mary Elizabeth Handley Former name

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
I20190411001410 MS Practitioner - Nurse Practitioner 8224073952 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians
Pascagoula Urgent CareGroup PAC ID 8527241207, 9 clinicians

Practice addresses (Care Compare)

1514 Bienville Blvd
Ocean Springs, MS 39564-3006
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567-3416
Phone (228) 372-6040

4770 Amoco Dr
Moss Point, MS 39563-9627
Phone (228) 474-9511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
I-085233ALMDNurse Practitioner
R213146-9MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pascagoula Urgent Care CurrentSince Jan 11, 2025 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince Feb 15, 2025 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Mar 25, 2019 Accepting new patients
Coastal Family Health Center, Inc. CurrentSince Mar 25, 2019 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Ocean Springs Urgent Care CurrentSince Feb 15, 2025 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner Past Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner Past Accepting new patients
Alteon Health Alabama, LLC Past Accepting new patients
Gilliard Health Services Past Accepting new patients
Coastal Family Health Center, Inc. Past Accepting new patients

Locations

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

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

4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511

5500 Hurley Wade Rd
Moss Point, MS 39562

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

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

10828 Highway 57
Vancleave, MS 39565
Phone (228) 826-4711

Interoperability endpoints

  • Direct secure messaging: mary.christian.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1669412052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 AMOCO DR",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395639627",
            "telephone_number": "228-474-9511",
            "fax_number": "228-474-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 AMOCO DR",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395639627",
            "telephone_number": "228-474-9511",
            "fax_number": "228-474-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "I-085233",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R213146-9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HANDLEY",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moss Point, MS

Sources for this page

Verify at the official NPI Registry.