Active NPI
Mary S. Stewart, GNP-BC
- Gerontology Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R862927
- Practice address
- 3701 8TH St Ste B
Meridian, MS 39307-6083 - Phone
- (601) 286-3395
- Fax
- (601) 286-3245
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R862927 | MS | |
| Gerontology Nurse Practitioner | 363LG0600X | R862927 | MS | Primary |
Addresses
Primary practice location
3701 8TH St Ste B
Meridian, MS 39307-6083
Mailing address
10026 Lizelia Rd
Meridian, MS 39305-9595
Phone (601) 866-7723
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Windmill Dr
Meridian, MS 39305-5103
Phone (601) 486-2525
3701 8TH St
Suite B
Meridian, MS 39307-6083
Phone (601) 527-7585
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 9.55 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 31.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R862927 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner Associates of Meridian | Current | Accepting new patients | |
| Behavioral Health Services of Meridian | Current | Accepting new patients |
Locations
3725 8th St
#B
Meridian, MS 39307
211 Windmill Dr
Meridian, MS 39305
Phone (601) 486-2525
3701 8th St
#B
Meridian, MS 39307
Phone (601) 282-1933
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 and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Meridian, MS
- NPI 1710640859
-
- Nursing Facility/Intermediate Care Facility
- Meridian, MS
- NPI 1699108860
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Meridian, MS
- NPI 1538802913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1902180979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 LIZELIA RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393059595",
"telephone_number": "601-866-7723",
"fax_number": "601-866-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 8TH ST STE B",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393076083",
"telephone_number": "601-286-3395",
"fax_number": "601-286-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARY",
"middle_name": "S.",
"credential": "GNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "R862927",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "R862927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.