Debra B Baxter, FNP-BC
Individual provider Active NPI Nurse Practitioner · Gulfport, MS
NPI 1811079544 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1811079544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R852798 (MS)
- Practice address
- 14116 Customs Blvd
Gulfport, MS 39503-5164 - Phone
- (833) 362-6703
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Segue Health of Mississippi LLC
Practice addresses (Care Compare)
232 Market St
Flowood, MS 39232-3339
Phone 8885512538101
Hospital & facility affiliations
- Vitalcaring Group
- Deaconess Homecare- Region I
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.52 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 58.4
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 |
|---|---|---|---|---|
| I20041102000450 | MS | Practitioner - Nurse Practitioner | 4486616497 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segue Health of Mississippi LLC | Current |
Accepting new patients | |
| Pascagoula Urgent Care | Current |
Accepting new patients | |
| Camellia Pharmacy Services LLC | Past | Accepting new patients | |
| United Emergency Services, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040
Interoperability endpoints
- dbaxter@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A004596 | AR | |
| Nurse Practitioner | 363L00000X | R852798 | MS | Yes |
Addresses
Primary practice location
14116 Customs Blvd
Gulfport, MS 39503-5164
Mailing address
2918 Louis Sessions St
Lake Village, AR 71653-6049
Phone (870) 265-5343
Other practice location 1
2918 Louis Sessions St
Lake Village, AR 71653-6049
Phone (870) 265-5343 ext. 114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125904 | Medicaid | MS |
Other providers in Gulfport, MS
- Gerald Steve Barrilleaux
- Kylee Barter
- Amy Bass-Longo
- Rebecca Branton Bass
- Korilyn Celest Baudoin
- Katrina Baxter
- Bay Breeze Dental Group
- Lenora Jean Bayes
- Sara Lynn Baylor
- Tania Georgieva Bayne
All providers in Gulfport, MS · 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 Dec 18, 2019. 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.