Active NPI
Misty Stevenson, RN
- Home Health Registered Nurse
- Gulfport, MS
National Provider Identifier
1700510302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R885868
- Practice address
- 11497 Highway 49 Ste B
Gulfport, MS 39503-3152 - Phone
- (228) 323-7695
- Fax
- (228) 678-7146
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R885868 | MS | |
| Hospice Registered Nurse | 163WH1000X | R885868 | MS | |
| Wound Care Registered Nurse | 163WW0000X | R885868 | MS | |
| In Home Supportive Care Agency | 253Z00000X | 16753 | MS | |
| Home Health Registered Nurse | 163WH0200X | R885868 | MS | Primary |
Addresses
Primary practice location
11497 Highway 49 Ste B
Gulfport, MS 39503-3152
Mailing address
839B 28TH St
Gulfport, MS 39501-5413
Phone (228) 596-5911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@elitehomecare.services | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R885868 | MS | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Care Home Care Services LLC | In Home Supportive Care | Current | Accepting new patients |
| Elite Care Health Group | Home Health | Current | Accepting new patients |
Locations
1520 29th Ave
Ste 16
Gulfport, MS 39501
Phone (228) 209-6307
839B 28th St
Gulfport, MS 39501
Phone (228) 596-5911
11497 Highway 49
Ste B
Gulfport, MS 39503
Phone (228) 323-7695
Organizations & group practices 2
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.
-
- Home Health Registered Nurse
- Gulfport, MS
- NPI 1912884321
-
- Home Health Aide
- Gulfport, MS
- NPI 1770202814
In Home Supportive Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1700510302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839B 28TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395015413",
"telephone_number": "228-596-5911",
"fax_number": "228-678-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11497 HIGHWAY 49 STE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033152",
"telephone_number": "228-323-7695",
"fax_number": "228-678-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "MISTY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MS",
"license": "R885868",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MS",
"license": "R885868",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MS",
"license": "R885868",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MS",
"license": "16753",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MS",
"license": "R885868",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@elitehomecare.services",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "1520 29th Ave Ste 16",
"city": "Gulfport",
"state": "MS",
"country_code": "US",
"postal_code": "395012843",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.