TYRONE LEAVETTE RUPERT N.P.
NPI 1164759965
Nurse Practitioner - Family in Columbus, MS
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
9Medicare enrollment records show Tyrone Rupert reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, MS 39705
- Reassigned Medicare billing, Mississippi enrollment
- 42 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 108 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Petal, MS 39465
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Hazlehurst, MS 39083
- Reassigned Medicare billing, Mississippi enrollment
- 159 clinicians in this Medicare group
Mccomb, MS 39648
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Diberville, MS 39540
- Reassigned Medicare billing, Mississippi enrollment
- 47 clinicians in this Medicare group
Pascagoula, MS 39567
- Reassigned Medicare billing, Mississippi enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MSPhysician 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.
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.
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.
Which organizations bill Medicare for Tyrone Rupert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Rupert reassigns Medicare benefits to 9 organizations: United Emergency Services Of Mississippi (Columbus, MS), Relias Emergency Medicine Specialists Of Tupelo LLC (Tupelo, MS), Maxem Health Urgent Care Flowood (Flowood, MS), App Of Mississippi Ed, LLC (Jackson, MS), Petal Urgent Care LLC (Petal, MS) and 4 more organizations, listed in the Medicare section above. Each 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 Tyrone Rupert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyrone Rupert accept?
Health plans from 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.
# Tyrone Leavette Rupert, N.P. · NPI 1164759965
Family physician in Columbus, Mississippi. Individual provider, active in the CMS NPPES registry since November 16, 2009.
## Identity
- **NPI:** 1164759965 (Entity type: Individual)
- **Enumerated:** November 16, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R867788 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 824 ALABAMA ST, Columbus, MS 39702-5436
- **Phone:** (662) 244-0391
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): United Emergency Services Of Mississippi (NPI 1801983309, Columbus, MS); Relias Emergency Medicine Specialists Of Tupelo LLC (NPI 1841664661, Tupelo, MS); Maxem Health Urgent Care Flowood (NPI 1174070650, Flowood, MS); App Of Mississippi Ed, LLC (NPI 1730687740, Jackson, MS); Petal Urgent Care LLC (NPI 1982908877, Petal, MS); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 16, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1164759965) · Data from the CMS NPPES public registry.