NPIMap

Individual provider Active NPI

Deborah Fore, FNP-C

  • Family Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1962286344
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906070 Issued in MS
Practice address
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-7600
Fax
(228) 875-3385
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906070 MS Primary

Addresses

Primary practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

34 Stone Forrest TRL
MC Henry, MS 39561-5201
Phone (228) 669-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122003406 MS Practitioner - Nurse Practitioner 7618329020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

1720 A Medical Park Dr
Suite 300
Biloxi, MS 39532-2127
Phone (228) 872-6291

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Center PA CurrentSince Feb 17, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 21, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 21, 2025 Accepting new patients
Digestive Health Center, P.a. CurrentSince Feb 17, 2025 Accepting new patients
Memorial Hospital at Gulfport PastSince Sep 1, 2023 Accepting new patients

Locations

1720A Medical Park Dr
Ste 300
Biloxi, MS 39532
Phone (228) 702-1500

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

90 Industrial Park Cir
Ste A
Ocean Springs, MS 39564
Phone (228) 872-6291

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012

Organizations & group practices 9

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 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1962286344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 STONE FORREST TRL",
            "city": "MC HENRY",
            "state": "MS",
            "postal_code": "395615201",
            "telephone_number": "228-669-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-7600",
            "fax_number": "228-875-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORE",
        "first_name": "DEBORAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.