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Individual provider Active NPI

Stacey Marie Kreher, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Bay St. Louis, MS
National Provider Identifier
1669762902
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R872268 Issued in MS
Practice address
1009 Benigno LN.
Hancock Women'S Center
Bay St. Louis, MS 39520
Phone
(228) 467-2555
Fax
(228) 467-5480
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R872268 MS Primary

Addresses

Primary practice location

1009 Benigno LN.
Hancock Women'S Center
Bay St. Louis, MS 39520

Mailing address

1009 Benigno LN.
Hancock Women'S Center
Bay St. Louis, MS 39520
Phone (228) 467-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111107000610 MS Practitioner - Nurse Practitioner 5092988006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Hancock Womens Center PAGroup PAC ID 1658421482, 3 clinicians

Practice addresses (Care Compare)

1001 Benigno LN
Bay St Louis, MS 39520-1602
Phone (228) 467-1414

1009 Benigno LN
Bay Saint Louis, MS 39520-1602
Phone (228) 467-2555

1009 Beningo Lane
Bay St. Louis, MS 39520-1602

1340 Broad Ave
Gulfport, MS 39501-2460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Jul 28, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 28, 2025 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Hancock Womens Center PA CurrentSince Oct 3, 2011 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1009 Benigno Ln
Bay St Louis, MS 39520
Phone (228) 467-2555

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

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.

Hospital & facility affiliations 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1669762902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BENIGNO LN.",
            "address_2": "HANCOCK WOMEN'S CENTER",
            "city": "BAY ST. LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2555",
            "fax_number": "228-467-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BENIGNO LN.",
            "address_2": "HANCOCK WOMEN'S CENTER",
            "city": "BAY ST. LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2555",
            "fax_number": "228-467-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREHER",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "R872268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St. Louis, MS

Sources for this page

Verify at the official NPI Registry.