Mary Elizabeth Harter, FNP
Individual provider Active NPI Nurse Practitioner · Moss Point, MS
NPI 1669412052 · NPPES record last updated May 7, 2019
Key facts
- NPI
- 1669412052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- I-085233 (AL)
- Practice address
- 4770 Amoco Dr
Moss Point, MS 39563-9627 - Phone
- (228) 474-9511
- Fax
- (228) 474-9506
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ocean Springs Urgent Care
Pascagoula Urgent Care
Coastal Family Health Center, Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411001410 | MS | Practitioner - Nurse Practitioner | 8224073952 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-085233 | AL | MD | Nurse Practitioner |
| R213146-9 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Pascagoula Urgent Care | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc. | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc | Current |
Accepting new patients | |
| Maxem Health Urgent Care Diberville | Current |
Accepting new patients | |
| Ocean Springs Urgent Care | Current |
Accepting new patients | |
| Alteon Health Alabama, LLC | Past | Accepting new patients | |
| Coastal Family Health Center, Inc | Past | Accepting new patients | |
| Gilliard Health Services | Past | Accepting new patients | |
| City of Jackson Healthcare Authority | 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
5500 Hurley Wade Rd
Moss Point, MS 39562
4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511
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
- mary.christian.p1@direct.cfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | I-085233 | AL | Yes |
| 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
- Mary Elizabeth Handley
Other providers in Moss Point, MS
- Kathryn Elizabeth Goff
- Lori Michelle Goodnight
- Kathy Ann Goodwin
- Natalie Green
- Gulf Coast Social Work LLC
- Paula L Helmly
- Don M Hembree
- Here and There Non Emergency Transportation
- Timothy C Hiebert
- Heather Holland
All providers in Moss Point, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.