Stephanie Kay Bounds, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Poplarville, MS
NPI 1740766252 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1740766252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 902752 (MS)
- Practice address
- 302 Highway 11 S
Poplarville, MS 39470-2625 - Phone
- (601) 403-8971
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forrest County General Hospital
Practice addresses (Care Compare)
305 W Moody St
Pearl River County Hospital
Poplarville, MS 39470-7338
Phone (601) 795-4543
Hospital & facility affiliations
- Pearl River County Hospital
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 |
|---|---|---|---|---|
| I20180910000255 | MS | Practitioner - Nurse Practitioner | 1153671300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902752 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current |
Accepting new patients | |
| Forrest General Hospital | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Pearl River County Hospital | Current |
Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
305 W Moody St
#H
Poplarville, MS 39470
Phone (601) 795-4345
305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345
302 Highway 11 S
Poplarville, MS 39470
Phone (601) 403-8284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 902752 | MS | Yes |
Addresses
Primary practice location
302 Highway 11 S
Poplarville, MS 39470-2625
Mailing address
302 Highway 11 S
Poplarville, MS 39470-2625
Phone (601) 403-8971
Other practice location 1
305 W Moody St
Poplarville, MS 39470-7338
Phone (601) 795-4543
Other providers in Poplarville, MS
- Mary Beth Blanchet
- Blossman Healthcare Staffing, LLC
- Larry Melvin Boone
- Boones Pharmacy Inc
- Boones Pharmacy Inc
- Bright Steps Therapy LLC
- William J Brown
- Bruno Counseling and Consulting Services, LLC
- Laurie Cabral
- Marlee Cameron
All providers in Poplarville, MS · Psychiatric/Mental Health 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 Jul 17, 2018. 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.