Individual provider Active NPI

Bruce Eric Hill, FNP-C

  • Family Nurse Practitioner
  • McComb, MS
National Provider Identifier
1922559772
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901617 Issued in MS
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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 2 clinicians

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 Home health agency, McComb, MS, CCN 257124
  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
901617MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Guys Integrative Medicine Institute CurrentSince Dec 11, 2023 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 17, 2016 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 17, 2016 Accepting new patients
Southern Remedy Family Medicine CurrentSince Dec 11, 2023 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

  • Direct secure messaging: bruce.eric.hill.1@30430.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 901617 MS
Family Nurse Practitioner 363LF0000X 901617 MS Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
04422546MedicaidMS

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

Verify at the official NPI Registry.