Individual provider Active NPI

Roxanne Lee Decell, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Poplarville, MS
National Provider Identifier
1912445685
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901748 Issued in MS
Practice address
228 Caney Ford Rd.
Poplarville, MS 39470
Phone
(228) 669-4250
NPI assigned
Feb 2, 2017
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 901748 MS
Family Nurse Practitioner 363LF0000X AP09168 LA
Family Nurse Practitioner 363LF0000X 901748 MS Primary

Addresses

Primary practice location

228 Caney Ford Rd.
Poplarville, MS 39470

Mailing address

228 Caney Ford Rd.
Poplarville, MS 39470
Phone (228) 669-4250

Other identifiers 1

IdentifierTypeStateIssuer
04885860MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdecell60306@directpatientrecord.com Health Information Exchange (HIE)

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
I20170614001597 MS Practitioner - Nurse Practitioner 7810265949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Highland Community LLCGroup PAC ID 8022451038, 15 clinicians

Practice addresses (Care Compare)

130 Highland Pkwy
Picayune, MS 39466-5574
Phone (601) 358-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09168LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Mar 15, 2022 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

Interoperability endpoints

  • Direct secure messaging: rdecell60306@directpatientrecord.com

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 1

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1912445685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CANEY FORD RD.",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "228-669-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CANEY FORD RD.",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "228-669-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECELL",
        "first_name": "ROXANNE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04885860",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdecell60306@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1407 S Main St",
            "city": "Poplarville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394703369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.