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TYRONE LEAVETTE RUPERT N.P.
NPI 1164759965
Nurse Practitioner - Family in Columbus, MS

Active since November 16, 2009PECOS EnrolledAccepts Medicare Assignment
824 ALABAMA ST, COLUMBUS, MS 39702(662) 244-0391 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrone Leavette Rupert N.p. NPPES

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

TYRONE LEAVETTE RUPERT N.P. (NPI 1164759965) is an individual family provider in Columbus, Mississippi, licensed in Mississippi (R867788) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164759965
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTYRONE LEAVETTE RUPERTCredential: N.P.
Location Address824 ALABAMA STColumbus, MS 39702-5436
Mailing Address3119 Sierra CtColumbus, MS 39705-1807 · (662) 889-3246
Phone(662) 244-0391
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 16, 2009
✔ NPI 1164759965 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 · R867788
824 ALABAMA ST, Columbus, MS 39702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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

Tyrone Leavette Rupert N.p. 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 ID3173704319
PECOS Enrollment IDI20110222000645
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

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39702 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 3

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

DR. MADHUKAR SARAN M.D
Internal Medicine
824 ALABAMA ST
COLUMBUS, MS 39702
Lowndes County (662) 244-0391
JACKSON VAMC
Clinic/Center (VA)
824 ALABAMA ST
COLUMBUS, MS 39702
Lowndes County (615) 355-3451
MS. PAMELA EVETTE NORWOOD L.M.S.W.
Counselor (Mental Health)
824 ALABAMA ST
COLUMBUS, MS 39702
Lowndes County (662) 244-0391

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 Tyrone Rupert's NPI number?

The NPI number for Tyrone Rupert is 1164759965. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Tyrone Rupert located?

Tyrone Rupert practices at 824 Alabama St, Columbus, MS 39702. The listed phone number is (662) 244-0391.

What is Tyrone Rupert's specialty?

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

Is Tyrone Rupert enrolled in Medicare?

Yes. Tyrone Rupert 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 Tyrone Rupert accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Tyrone Rupert 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 Tyrone Rupert affiliated with any hospitals?

According to CMS data, Tyrone Rupert is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Tyrone Rupert was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.