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SALLY M PROFFITT FNP-C
NPI 1023389210
Nurse Practitioner - Family in Gulfport, MS

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
15190 COMMUNITY RD STE 260, GULFPORT, MS 39503(228) 575-7290(228) 831-8189 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2026, May 14, 2025, Nov 16, 2017 and 1 more (4 updates tracked since 2016).

About Sally M Proffitt Fnp-c NPPES

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

SALLY M PROFFITT FNP-C (NPI 1023389210) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (R878145) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023389210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY M PROFFITTCredential: FNP-C
Location Address15190 COMMUNITY RD STE 260Gulfport, MS 39503-3471
Mailing Address2101 Highway 90Gautier, MS 39553-5340 · (228) 497-7576 · Fax (228) 497-8869
Phone(228) 575-7290
Fax(228) 831-8189
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 19, 2012
Last NPPES UpdateFebruary 7, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1023389210 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 · R878145
15190 COMMUNITY RD STE 260, Gulfport, MS 39503
Open in Google Maps ↗

Other Identifiers 1

Medicaid08234830MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally M Proffitt Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840457719
PECOS Enrollment IDI20120203000459
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 4

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

RICHARD MCMULLAN NP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 575-8020
JASON KEITH ELY
Nurse Practitioner (Family)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 762-4483
DR. JOHN JACOBS HALL M.D.
Surgery
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 762-4483
DR. CHERIE CHAMPAGNE M.D.
Internal Medicine (Interventional Cardiology)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 575-8020

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 Sally Proffitt's NPI number?

The NPI number for Sally Proffitt is 1023389210. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Sally Proffitt located?

Sally Proffitt practices at 15190 Community Rd Ste 260, Gulfport, MS 39503. The listed phone number is (228) 575-7290.

What is Sally Proffitt's specialty?

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

Is Sally Proffitt enrolled in Medicare?

Yes. Sally Proffitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sally Proffitt affiliated with any hospitals?

According to CMS data, Sally Proffitt is affiliated with Singing River Health System and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Sally Proffitt was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.