Individual provider Active NPI

Vivian Tran, FNP-C

  • Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1942902770
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905785 Issued in MS
Practice address
3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone
(228) 872-4040
Fax
(228) 875-2387
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 905785 MS Primary

Addresses

Primary practice location

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710

Mailing address

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone (228) 872-4040

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
I20231214003933 MS Practitioner - Nurse Practitioner 9638528656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ms Heart Center,PA CurrentSince Nov 5, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Southern Ms Heart Center,PA Current Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

3704 Bienville Blvd
#B
Ocean Springs, MS 39564
Phone (228) 872-4040

3616 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

4603 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

Organizations & group practices 7

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 63

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

View all 63

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1942902770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-875-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-875-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VIVIAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.