Active NPI
Katherine Elizabeth Schubert, FNP-C
- Family Nurse Practitioner
- Tylertown, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 903742
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
Practice addresses (Care Compare)
146 Highland Pkwy
Picayune, MS 39466-5575
Phone (601) 358-9765
Hospital & facility affiliations
- Mississippi Homecare of Picayune
- Highland Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Walthall General Hospital | Current | Accepting new patients | |
| Walthall General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | 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.
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Community Based Hospice Care Agency
- Hattiesburg, MS
- NPI 1013002724
-
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- Rehabilitation Hospital Unit
- Hattiesburg, MS
- NPI 1104928548
-
- Medicare Defined Swing Bed Hospital Unit
- Poplarville, MS
- NPI 1124325287
-
- Rural Health Clinic/Center
- Richton, MS
- NPI 1205974201
-
- Medicare Defined Swing Bed Hospital Unit
- Picayune, MS
- NPI 1275700064
-
- Critical Access Hospital
- Prentiss, MS
- NPI 1295013316
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Picayune, MS
- NPI 1548293582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.