Jessica Nicole Beck, NP-C – Family Nurse Practitioner

Key facts

NPI: 1972111409
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 904027 (MS)
Practice address: 21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone: (228) 872-1505
NPI assigned: Jul 21, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Mississippi Coast OB/GYN, P.a. Obstetrics & Gynecology Physician · Ocean Springs, MS · NPI 1730269242

Medicare reassignment Care Compare group NPD MS
Action Potential, PLLC Sports Medicine (Family Medicine) Physician · Hattiesburg, MS · NPI 1922868314

NPD (past)

Hospital & facility affiliations 3

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

Singing River Gulfport General Acute Care Hospital · Gulfport, MS · NPI 1639797913

Care Compare affiliation Hospital
Singing River Health System Multi-Specialty Clinic/Center · Gautier, MS · NPI 1083893937

Care Compare affiliation Hospital
Singing River Health System General Acute Care Hospital · Pascagoula, MS · NPI 1124136593

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Mississippi Coast OB/GYN, P.a. (4 clinicians)

Practice addresses (Care Compare)

21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone (228) 872-1505

Hospital & facility affiliations

Singing River Health System Hospital · Pascagoula, MS · CCN 250040
Singing River Gulfport Hospital · Gulfport, MS · CCN 250123

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200908000073	MS	Practitioner - Nurse Practitioner	1759708720	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Mississippi Coast OB/GYN, P.a.		Current since Sep 15, 2020	Accepting new patients
Action Potential, PLLC		Past	Accepting new patients

Locations

21 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 872-1505

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	904027	MS	Yes

Addresses

Primary practice location

21 Doctors Dr
Ocean Springs, MS 39564-5709

Mailing address

21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone (228) 282-3170

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · Family Nurse Practitioner in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.