Individual provider Active NPI

Brandy Dianne Parker, FNP-C

  • Family Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1982092318
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
851992 Issued in MS
Practice address
5907 Highway 90
Pascagoula, MS 39563-6536
Phone
(228) 934-2481
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R851992 MS
Family Nurse Practitioner 363LF0000X 851992 MS Primary

Addresses

Primary practice location

5907 Highway 90
Pascagoula, MS 39563-6536

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Other identifiers 1

IdentifierTypeStateIssuer
003524746MedicaidMS

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
I20150420001097 MS Practitioner - Nurse Practitioner 5698093862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

5907 Hwy 90
Moss Point, MS 39563-6536
Phone (228) 769-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as apm
Quality
82.53
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851992MSMDFamily Nurse Practitioner
R851992MSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611

Interoperability endpoints

  • Direct secure messaging: brandy.parker.1@16253.direct.athenahealth.com

Organizations & group practices 1

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1982092318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 HIGHWAY 90",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395636536",
            "telephone_number": "228-934-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRANDY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R851992",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "851992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003524746",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.