Individual provider Active NPI

Amanda Anderson Scorsone, NP

  • Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1790291268
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904069 Issued in MS
Practice address
921 Cedar Lake Rd
Biloxi, MS 39532-2126
Phone
(228) 396-3945
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904069 MS Primary

Addresses

Primary practice location

921 Cedar Lake Rd
Biloxi, MS 39532-2126

Mailing address

6513 Twin Bayou Dr
Ocean Springs, MS 39564-9272
Phone (719) 214-9322

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
I20211025002803 MS Practitioner - Nurse Practitioner 2860880804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904069MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services of the Gulf Coast LLC CurrentSince Sep 19, 2021 Accepting new patients
Cooper Family Medical Center Inc. CurrentSince Sep 19, 2021 Accepting new patients
District Health Department No 10 Past Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

6652 U S Highway 98
Hattiesburg, MS 39402

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900

Interoperability endpoints

  • Direct secure messaging: amanda.scorsone.1@24353.direct.athenahealth.com

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1790291268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 TWIN BAYOU DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395649272",
            "telephone_number": "719-214-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CEDAR LAKE RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322126",
            "telephone_number": "228-396-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORSONE",
        "first_name": "AMANDA",
        "middle_name": "ANDERSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.