Individual provider Active NPI

Robert Myers, FNP-C

  • Family Nurse Practitioner
  • Mathiston, MS
National Provider Identifier
1821873746
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07230167 Issued in MS
Practice address
24978 Ms Highway
Mathiston, MS 39752-9220
Phone
(662) 662-3089
Fax
(662) 634-3063
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 F07230167 MS Primary

Addresses

Primary practice location

24978 Ms Highway
Mathiston, MS 39752-9220

Mailing address

24978 Ms Highway
Mathiston, MS 39752-9220
Phone (662) 662-3089

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherMS90622

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
I20231206002018 MS Practitioner - Nurse Practitioner 7416306196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Urgent Care LLCGroup PAC ID 8729354055, 6 clinicians

Practice addresses (Care Compare)

24978 Ms Hwy 15
Mathiston, MS 39752-6904
Phone (662) 634-3089

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
65.98
Improvement activities
40
Cost
74.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07230167MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Urgent Care LLC CurrentSince Sep 23, 2023 Accepting new patients
Webster Urgent Care LLC CurrentSince Sep 23, 2023 Accepting new patients
Webster Urgent Care Caledonia LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

902 E Madison St
Houston, MS 38851
Phone (662) 567-5084

Interoperability endpoints

  • Direct secure messaging: websterurgent@wu.azalea.phimailbox.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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1821873746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24978 MS HIGHWAY",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397529220",
            "telephone_number": "662-662-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24978 MS HIGHWAY",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397529220",
            "telephone_number": "662-662-3089",
            "fax_number": "662-634-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ROBERT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F07230167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "90622",
            "identifier": "LICENSE",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mathiston, MS

Sources for this page

Verify at the official NPI Registry.