Active NPI
Alexandria Tanner, NP
- Gerontology Nurse Practitioner
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 877478
- Practice address
- 3890 Bienville Blvd
Ocean Springs, MS 39564-5803 - Phone
- (228) 818-5521
- Fax
- (228) 872-2225
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 877478 | MS | Primary |
Addresses
Primary practice location
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Mailing address
1720 Medical Park Dr
Biloxi, MS 39532-2131
Phone (228) 392-7429
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727000825 | MS | Practitioner - Nurse Practitioner | 2961795232 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
4500 W Railroad St
Gulfport, MS 39501-2479
Phone (228) 863-8836
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Singing River Gulfport
- Memorial Hospital Biloxi
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.9 of 100
- Quality
- 47.44
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Associates, PA | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Gastrointestinal Associates, P.a. | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
1720A Medical Park Dr
Ste 340
Biloxi, MS 39532
Phone (228) 392-7429
1720A Medical Park Dr
Ste 150
Biloxi, MS 39532
Phone (228) 392-7429
1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200
147 Reynoir St
Ste 301
Biloxi, MS 39530
Phone (228) 374-7949
1110 Broad Ave
Ste 700
Gulfport, MS 39501
Phone (228) 864-0314
4500 W Railroad St
Gulfport, MS 39501
Phone (228) 863-8836
3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Flowood, MS
- NPI 1326587304
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Internal Medicine Physician
- Bay St Louis, MS
- NPI 1518394089
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
Hospital & facility affiliations 61
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1710371018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 MEDICAL PARK DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322131",
"telephone_number": "228-392-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645803",
"telephone_number": "228-818-5521",
"fax_number": "228-872-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "ALEXANDRIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "877478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.