Individual provider Active NPI

Seth B Stuart, NP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1902578685
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904853 Issued in MS
Practice address
501 Marshall St Ste 301
Jackson, MS 39202-1687
Phone
(601) 353-9900
Fax
(601) 353-3654
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904853 MS Primary

Addresses

Primary practice location

501 Marshall St Ste 301
Jackson, MS 39202-1687

Mailing address

501 Marshall St Ste 301
Jackson, MS 39202-1687
Phone (601) 353-9900

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
I20211202000694 MS Practitioner - Nurse Practitioner 5496145690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Urology Clinic PLLCGroup PAC ID 6406830942, 14 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 301
Jackson, MS 39202-1687
Phone (601) 353-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904853MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Urology Clinic, PLLC CurrentSince Sep 20, 2021 Accepting new patients
Mississippi Urology Outpatient Surgery Center, LLC Past Accepting new patients
Mississippi Urology Clinic, PLLC PastSince Sep 24, 2023 Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

501 Marshall St
Ste 301
Jackson, MS 39202

1029 River Oaks Dr
Jackson, MS 39232
Phone (601) 664-1000

1040 River Oaks Dr
Ste 202
Jackson, MS 39232

971 Lakeland Dr
Ste 657
Jackson, MS 39216
Phone (601) 200-2780

Interoperability endpoints

  • Direct secure messaging: sethstuart@muc.medalliesdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc32520_mississippiurologyclinic

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.

Hospital & facility affiliations 4

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1902578685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021687",
            "telephone_number": "601-353-9900",
            "fax_number": "601-353-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021687",
            "telephone_number": "601-353-9900",
            "fax_number": "601-353-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "SETH",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.