MEMORIAL HOSPITAL AT GULFPORT
NPI 1073606901
General Acute Care Hospital in Gulfport, MS
About Memorial Hospital At Gulfport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL HOSPITAL AT GULFPORT (NPI 1073606901) is a healthcare organization registered as a general acute care hospital in Gulfport, Mississippi and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through May 18, 2027, maintains a secondary practice location in Wiggins, and lists Kent Nicaud, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 13
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Hospital At Gulfport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
729Medicare enrollment records show 729 clinicians reassign Medicare billing to Memorial Hospital At Gulfport, which bills Medicare for the services they deliver. Of these, 99 practice at this address and 331 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 729Gulfport, MS 39501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 25D0991852
Memorial Hospital At Gulfport Dba Memorial Hospital At Stone County · Wiggins, MSFrequently 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 Memorial Hospital At Gulfport's NPI number?
The NPI number for Memorial Hospital At Gulfport is 1073606901. It was assigned to this organization in the NPPES registry on October 2, 2006.
Where is Memorial Hospital At Gulfport located?
Memorial Hospital At Gulfport is located at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 867-3076.
What is Memorial Hospital At Gulfport's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Memorial Hospital At Gulfport enrolled in Medicare?
Yes. Memorial Hospital At Gulfport is registered in the Medicare PECOS enrollment system.
When is Memorial Hospital At Gulfport's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Hospital) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Memorial Hospital At Gulfport?
According to the CMS Revalidation Reassignment List (October 2026 release), 729 clinicians in 47 Medicare specialties reassign their Medicare billing to Memorial Hospital At Gulfport. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (269), Certified Registered Nurse Anesthetist (CRNA) (57) and Internal Medicine (57). Of these, 99 practice at this address and 331 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Hospital At Gulfport hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 25D0991852) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Memorial Hospital At Gulfport accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Memorial Hospital At Gulfport 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 Memorial Hospital At Gulfport was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Memorial Hospital At Gulfport · NPI 1073606901
General Acute Care Hospital organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1073606901 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Organization subpart:** No
- **Authorized official:** Kent Nicaud, CEO
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39501-2515
- **Phone:** (228) 867-3076 · **Fax:** (228) 865-3098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Mississippi, Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 729 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (269), Certified Registered Nurse Anesthetist (CRNA) (57), Internal Medicine (57); 99 practice at this address and 331 within 10 miles; [full list](https://npiprofile.com/npi/1073606901/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2024
- **Other identifiers:** Medicaid 00020027 (MS); Medicaid 000260081X (GA); Medicaid 1943061 (LA); and 10 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073606901) · Data from the CMS NPPES public registry.