Individual provider Active NPI

Charlotte Marie Aeger Ross, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1689439945
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906505 Issued in MS
Practice address
549 E Pass Rd
Gulfport, MS 39507-3261
Phone
(228) 338-6853
Fax
(228) 333-0682
NPI assigned
Feb 15, 2024
Last updated
Feb 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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 906505 MS Primary

Addresses

Primary practice location

549 E Pass Rd
Gulfport, MS 39507-3261

Mailing address

12456 John Lee Rd
Biloxi, MS 39532-9646
Phone (228) 861-0707

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
I20240430002103 MS Practitioner - Nurse Practitioner 9335589936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

549 E Pass Rd
Gulfport, MS 39507-3261
Phone (228) 338-6853

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Works Wellness, PLLC Psychiatric/Mental Health CurrentSince Mar 10, 2024 Accepting new patients
Magnolia Mental Health and Wellness PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients

Locations

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

2012 Highway 90
Ste 12
Gautier, MS 39553
Phone (601) 530-5317

549 E Pass Rd
Gulfport, MS 39507
Phone (228) 338-6853

124 Summer St
Ste D
Lucedale, MS 39452
Phone (228) 806-7010

553 Cowart St
Ste 1
Lucedale, MS 39452
Phone (601) 530-5287

Organizations & group practices 3

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1689439945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12456 JOHN LEE RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329646",
            "telephone_number": "228-861-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073261",
            "telephone_number": "228-338-6853",
            "fax_number": "228-333-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEGER ROSS",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.