Individual provider Active NPI

Monica Alison, FNP-C

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1821684838
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904307 Issued in MS
Practice address
10451 Larkin Smith Dr
Gulfport, MS 39503-4615
Phone
(228) 896-0660
Fax
(228) 896-0645
NPI assigned
Dec 14, 2020
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904307 MS Primary

Addresses

Primary practice location

10451 Larkin Smith Dr
Gulfport, MS 39503-4615

Mailing address

10451 Larkin Smith Dr
Gulfport, MS 39503-4615
Phone (228) 896-0660

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
I20210301000356 MS Practitioner - Nurse Practitioner 7315352200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
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

State licenses

LicenseStateTypeSpecialty
904307MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, P.a. Current Accepting new patients
Gastrointestinal Associates, P.a. CurrentSince Jun 19, 2023 Accepting new patients
Gastrointestinal Associates, PA CurrentSince Jun 19, 2023 Accepting new patients

Locations

9424 Three Rivers Rd
Gulfport, MS 39503
Phone (228) 575-2156

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1821684838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 LARKIN SMITH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034615",
            "telephone_number": "228-896-0660",
            "fax_number": "228-896-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 LARKIN SMITH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034615",
            "telephone_number": "228-896-0660",
            "fax_number": "228-896-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISON",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.