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Individual provider Active NPI

Rachael Crittenden Nuschke, FNP

  • Family Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1891027702
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R867573 Issued in MS
Practice address
179 Drinkwater Rd
Bay St Louis, MS 39520-1613
Phone
(228) 575-2929
Fax
(228) 467-4337
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 R867573 MS Primary

Addresses

Primary practice location

179 Drinkwater Rd
Bay St Louis, MS 39520-1613

Mailing address

4500 13TH St
Gulfport, MS 39501-2569
Phone (228) 867-4000

Other practice location 1

20091 Pineville Rd
Long Beach, MS 39560-3208
Phone (228) 868-3684

Other practice location 2

1001 Benigno Ln
Bay St Louis, MS 39520-1602
Phone (228) 467-1414

Other names 1

  • Ms. Rachael Crittenden Dedeaux Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000963 MS Practitioner - Nurse Practitioner 9537356134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hospital at Gulfport 473 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

179 Drinkwater Rd
Bay St Louis, MS 39520-1613
Phone (228) 575-2929

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 30, 2015 Accepting new patients
Hancock Medical Health Services, Inc. Family Past Accepting new patients
Bay Area Emergency Physicians LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Ochsner Medical Center - Hancock LLC Past Accepting new patients
David F. Roberts, MD Past Accepting new patients

Locations

179 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 395-1234

1001 Benigno Ln
Bay St Louis, MS 39520
Phone (228) 467-1414

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

20091 Pineville Rd
Long Beach, MS 39560
Phone (228) 868-3684

Interoperability endpoints

  • Direct secure messaging: rnuschke@direct.mhg.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 62

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 62

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1891027702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012569",
            "telephone_number": "228-867-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DRINKWATER RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201613",
            "telephone_number": "228-575-2929",
            "fax_number": "228-467-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20091 Pineville Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "MS",
            "postal_code": "395603208",
            "country_code": "US",
            "telephone_number": "228-868-3684",
            "fax_number": "228-868-3795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Benigno Ln",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201602",
            "country_code": "US",
            "telephone_number": "228-467-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSCHKE",
        "first_name": "RACHAEL",
        "middle_name": "CRITTENDEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "DEDEAUX",
            "middle_name": "CRITTENDEN",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.