Individual provider Active NPI

Katherine Elizabeth Schubert, FNP-C

  • Family Nurse Practitioner
  • Tylertown, MS
National Provider Identifier
1891320164
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903742 Issued in MS
Practice address
200 Hospital Dr
Tylertown, MS 39667-2020
Phone
(601) 876-5835
NPI assigned
Mar 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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 903742 MS Primary

Addresses

Primary practice location

200 Hospital Dr
Tylertown, MS 39667-2020

Mailing address

70 Terry Schubert Rd
Carriere, MS 39426-7856
Phone (601) 916-7033

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
I20210615000468 MS Practitioner - Nurse Practitioner 5395145270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

146 Highland Pkwy
Picayune, MS 39466-5575
Phone (601) 358-9765

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Mar 5, 2021 Accepting new patients
Walthall General Hospital CurrentSince Mar 5, 2021 Accepting new patients
Walthall General Hospital CurrentSince Mar 5, 2021 Accepting new patients
Forrest County General Hospital CurrentSince Mar 5, 2021 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

200 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-5303

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1891320164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 TERRY SCHUBERT RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267856",
            "telephone_number": "601-916-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672020",
            "telephone_number": "601-876-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

Verify at the official NPI Registry.