Angelique Coffin, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

896462 Issued in MS

Practice address

971 Tommy Munro Dr
Biloxi, MS 39532-2137

Phone

(228) 207-1777

NPI assigned

Sep 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angelique Veronica Cowan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jernigan Chiropractic Clinic IncGroup PAC ID 6103895545, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jernigan Chiropractic Clinic Inc

  • Multi-Specialty Clinic/Center
  • Gulfport, MS
  • NPI 1275701781
  Medicare reassignment Care Compare group NPD
• A Better Health Primary Care PLLC

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1881478188
  Medicare reassignment NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1962280545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 BIG CREEK RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037893",
            "telephone_number": "228-328-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 TOMMY MUNRO DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322137",
            "telephone_number": "228-207-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "ANGELIQUE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "896462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "COWAN",
            "middle_name": "VERONICA",
            "credential": "AGNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coastal Rehab, LLC (Ability Rehab Group)
• Coastal Sleep Solutions
• James Paul Cobb, CO, BOCP
• Amy Cochran
• Rachel Codella
• Meredith Coleman, CRNA
• Martha Colgan, CRT
• Evelyn Winford Collier, D.M.D.
• Kayla Marie Collins
• Kyne'Yto Collins

• Adult Health Nurse Practitioner in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.

Verify at the official NPI Registry.