Active NPI
Bruce Eric Hill, FNP-C
- Family Nurse Practitioner
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901617
- Practice address
- 215 Marion Ave
McComb, MS 39648-2705 - Phone
- (601) 249-1382
- NPI assigned
- Oct 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- McComb, MS
- NPI 1376034827
-
- Rural Health Clinic/Center
- Summit, MS
- NPI 1154008811
-
- Rural Health Clinic/Center
- McComb, MS
- NPI 1962451831
-
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
Hospital
-
- Home Health Agency
- McComb, MS
- NPI 1255401642
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
- Southern Remedy Family Medicine
Practice addresses (Care Compare)
3000 Plaza Dr
Suite C
Tylertown, MS 39667-9227
Phone (601) 803-5676
Hospital & facility affiliations
- St Luke Home Health Services
- Southwest Ms Regional Medical Center
- Walthall County General Hospital Cah
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101000950 | MS | Practitioner - Nurse Practitioner | 7911285614 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901617 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Guys Integrative Medicine Institute | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southern Remedy Family Medicine | Current | Accepting new patients |
Locations
300 Rawls Dr
Ste 700
McComb, MS 39648
Phone (601) 250-4381
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
1506 Harrison Ave
McComb, MS 39648
Phone (601) 249-2142
300 Rawls Dr
Ste 1500
McComb, MS 39648
Phone (601) 249-2142
300 Rawls Dr
Ste 600
McComb, MS 39648
Phone (601) 249-2701
3000 Plaza Dr
Ste C
Tylertown, MS 39667
Phone (601) 377-7936
Interoperability endpoints
- bruce.eric.hill.1@30430.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 901617 | MS | |
| Family Nurse Practitioner | 363LF0000X | 901617 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
215 Marion Ave
McComb, MS 39648-2705
Mailing address
PO Box 490
McComb, MS 39649-0490
Phone (601) 250-4366
Other practice location 1
300 Rawls Dr Ste 600
McComb, MS 39648-2862
Phone (601) 249-4415
Other practice location 2
1506 Harrison Ave
McComb, MS 39648-2716
Phone (601) 249-2142
Other practice location 3
300 Rawls Dr Ste 700
McComb, MS 39648-2877
Phone (601) 250-4381
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04422546 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2021.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1922559772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490490",
"telephone_number": "601-250-4366",
"fax_number": "601-250-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-1382"
}
],
"practiceLocations": [
{
"address_1": "300 Rawls Dr Ste 600",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482862",
"country_code": "US",
"telephone_number": "601-249-4415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1506 Harrison Ave",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482716",
"country_code": "US",
"telephone_number": "601-249-2142",
"fax_number": "601-249-1794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Rawls Dr Ste 700",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482877",
"country_code": "US",
"telephone_number": "601-250-4381",
"fax_number": "601-250-4382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "BRUCE",
"middle_name": "ERIC",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "901617",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04422546",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.