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TINA U. MABRY FNP
NPI 1003898859
Nurse Practitioner - Family in Lake, MS

Active since November 17, 2005PECOS Enrolled
24489 HIGHWAY 80, LAKE, MS 39092(601) 775-3264(601) 775-3097 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tina U. Mabry Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA U. MABRY FNP (NPI 1003898859) is an individual family provider in Lake, Mississippi, licensed in Mississippi (R588199) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003898859
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA U. MABRYCredential: FNP
Location Address24489 HIGHWAY 80Lake, MS 39092-3511
Mailing AddressPo Box 2065Meridian, MS 39302-2065 · (601) 703-4282 · Fax (601) 703-4597
Phone(601) 775-3264
Fax(601) 775-3097
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 6, 2013
✔ NPI 1003898859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R588199
24489 HIGHWAY 80, Lake, MS 39092
Open in Google Maps ↗

Other Identifiers 4

Other500008623Railroad Medicare
Medicare ID-Type Unspecified500000004
Medicaid00013436MS
Medicare UPINR08597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina U. Mabry Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers38 claims94 services$5.74 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier27 claims27 services$19.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$103.79 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims990 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims3,600 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT REGIONAL MEDICAL CENTER, INC.
Clinic/Center (Rural Health)
24489 HIGHWAY 80
LAKE, MS 39092
Scott County (601) 775-3264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Mabry's NPI number?

The NPI number for Tina Mabry is 1003898859. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Tina Mabry located?

Tina Mabry practices at 24489 Highway 80, Lake, MS 39092. The listed phone number is (601) 775-3264.

What is Tina Mabry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Mabry enrolled in Medicare?

Yes. Tina Mabry is registered in the Medicare PECOS enrollment system.

What insurance does Tina Mabry accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Tina Mabry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Mabry was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.