GWENDOLYN CORROTHERS ROYAL FNP-C
NPI 1174298293
Nurse Practitioner - Family in Vicksburg, MS
About Gwendolyn Corrothers Royal Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWENDOLYN CORROTHERS ROYAL FNP-C (NPI 1174298293) is an individual family provider in Vicksburg, Mississippi, licensed in Mississippi (904875) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Gwendolyn Corrothers Royal Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39183 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 4
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 Gwendolyn Corrothers Royal's NPI number?
The NPI number for Gwendolyn Corrothers Royal is 1174298293. It was assigned to this individual provider in the NPPES registry on August 11, 2021.
Where is Gwendolyn Corrothers Royal located?
Gwendolyn Corrothers Royal practices at 919 Mission 66, Vicksburg, MS 39183. The listed phone number is (601) 262-2922.
What is Gwendolyn Corrothers Royal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gwendolyn Corrothers Royal enrolled in Medicare?
Yes. Gwendolyn Corrothers Royal is registered in the Medicare PECOS enrollment system.
What insurance does Gwendolyn Corrothers Royal accept?
Health plans from Molina Healthcare list Gwendolyn Corrothers Royal 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 Gwendolyn Corrothers Royal was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gwendolyn Corrothers Royal, FNP-C · NPI 1174298293
Family physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since August 11, 2021.
## Identity
- **NPI:** 1174298293 (Entity type: Individual)
- **Enumerated:** August 11, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904875 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 919 MISSION 66, Vicksburg, MS 39183-2751
- **Phone:** (601) 262-2922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174298293) · Data from the CMS NPPES public registry.