JEANETTE SHABAZZ
NPI 1073916771
Nurse Practitioner - Family in Ocean Springs, MS

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564(228) 872-6291(228) 875-3385 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanette Shabazz NPPES

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

JEANETTE SHABAZZ (NPI 1073916771) is an individual family provider in Ocean Springs, Mississippi, licensed in Mississippi (R885984) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073916771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANETTE SHABAZZ
Location Address3890 BIENVILLE BLVDOcean Springs, MS 39564-5803
Mailing Address3616 Hospital StPascagoula, MS 39581-4117 · (228) 769-1035 · Fax (228) 769-2780
Fax(228) 875-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 8, 2014
Last NPPES UpdateJanuary 11, 2016
NPI 1073916771 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 · R885984
3890 BIENVILLE BLVD, Ocean Springs, MS 39564

Other Identifiers 1

Medicaid07576018MS

Accepted Insurance

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

Jeanette Shabazz 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 ID9537483458
PECOS Enrollment IDI20150126001369
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services16 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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.

Other Providers at the Same Location NPPES 17

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

Dietitian, Registered
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Radiologic Technologist (Computed Tomography)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Nurse Practitioner (Acute Care)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Nurse Practitioner (Family)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Specialist
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Radiology (Diagnostic Radiology)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Nurse Practitioner (Family)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Physician Assistant (Medical)
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

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 Jeanette Shabazz's NPI number?

The NPI number for Jeanette Shabazz is 1073916771. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Jeanette Shabazz located?

Jeanette Shabazz practices at 3890 Bienville Blvd, Ocean Springs, MS 39564. The listed phone number is (228) 872-6291.

What is Jeanette Shabazz's specialty?

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

Is Jeanette Shabazz enrolled in Medicare?

Yes. Jeanette Shabazz 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.

What insurance does Jeanette Shabazz 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 1 other insurer list Jeanette Shabazz 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.

Is Jeanette Shabazz affiliated with any hospitals?

According to CMS data, Jeanette Shabazz is affiliated with Singing River Health System.

When was this NPI record last updated?

The NPPES record for Jeanette Shabazz was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.