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DR. NATHAN SHANE SUMNER M.D.
NPI 1265652846
Psychiatry & Neurology - Neurology in Keesler Afb, MS

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
81MDOS/SGOMU, 301 FISHER STREET STE 1F-130, KEESLER AFB, MS 39534(228) 376-3791 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2025, Apr 12, 2018 (2 updates tracked since 2018).

About Dr. Nathan Shane Sumner M.d. NPPES

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

DR. NATHAN SHANE SUMNER M.D. (NPI 1265652846) is an individual neurology provider in Keesler Afb, Mississippi, licensed in Alabama (MD.28744) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265652846
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. NATHAN SHANE SUMNERCredential: M.D.
Location Address81MDOS/SGOMU, 301 FISHER STREET STE 1F-130Keesler Afb, MS 39534-2519
Mailing Address81mdos/sgomu, 301 Fisher Street Ste 1f-130Keesler Afb, MS 39534-2519 · (228) 376-3791
Phone(228) 376-3791
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 26, 2007
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1265652846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AL · MD.28744
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
81MDOS/SGOMU, Keesler Afb, MS 39534
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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

Dr. Nathan Shane Sumner M.d. 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 ID7214183490
PECOS Enrollment IDI20260803004158
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.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital At Gulfport
2.6 mi
Family Medicine
1756 POPPS FERRY RD STE A
Biloxi, MS 39532
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
NPI 1609203173 (228) 388-3820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39534 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
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.

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 Nathan Sumner's NPI number?

The NPI number for Nathan Sumner is 1265652846. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Nathan Sumner located?

Nathan Sumner practices at 81mdos/Sgomu 301 Fisher Street Ste 1f-130, Keesler Afb, MS 39534. The listed phone number is (228) 376-3791.

What is Nathan Sumner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nathan Sumner enrolled in Medicare?

Yes. Nathan Sumner 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 organization bills Medicare for Nathan Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Sumner reassigns Medicare benefits to Memorial Hospital At Gulfport (Biloxi, MS). The 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 Nathan Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Sumner was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.