1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Nurse Practitioner
  6. NPI Profile

LISSA KELLY BABER AGACNP
NPI 1306409040
Nurse Practitioner - Acute Care in Gulfport, MS

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
1340 BROAD AVE, GULFPORT, MS 39501(228) 867-5012 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lissa Kelly Baber Agacnp NPPES

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

LISSA KELLY BABER AGACNP (NPI 1306409040) is an individual acute care provider in Gulfport, Mississippi, licensed in Mississippi (903259) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1306409040
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISSA KELLY BABERCredential: AGACNP
Location Address1340 BROAD AVEGulfport, MS 39501-2404
Mailing Address5 Oak Alley LnLong Beach, MS 39560-8000 · (601) 433-0575
Phone(228) 867-5012
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 18, 2019
Last NPPES UpdateJune 30, 2019
✔ NPI 1306409040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MS · 903259
1340 BROAD AVE, Gulfport, MS 39501
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 13th StGulfport, MS 39501-2569 · Phone (228) 867-4000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Lissa Kelly Baber Agacnp 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 ID3577898501
PECOS Enrollment IDI20190715000430
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services122 patients
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.
35 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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 20

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

DR. NABIL AZAR M.D.
Hospitalist
1340 BROAD AVE, SUITE 310
GULFPORT, MS 39501
Harrison County (228) 575-1400
DR. PAUL DEREK WARE MD
Surgery
1340 BROAD AVE, SUITE 240
GULFPORT, MS 39501
Harrison County (228) 575-1200
GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS
Clinic/Center (Ambulatory Surgical)
1340 BROAD AVE, SUITE 440
GULFPORT, MS 39501
Harrison County (228) 822-2117
MEMORIAL HOSPITAL AT GULFPORT
Radiology (Radiation Oncology)
1340 BROAD AVE, SUITE 140
GULFPORT, MS 39501
Harrison County (228) 818-0563
CHRISTY M COUEVAS
Nurse Anesthetist, Certified Registered
1340 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 575-2902
CRAIG A DAWKINS M.D.
Urology
1340 BROAD AVE, SUITE 210
GULFPORT, MS 39501
Harrison County (228) 863-4490
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Gastroenterology)
1340 BROAD AVE, SUITE 300
GULFPORT, MS 39501
Harrison County (228) 575-1200
WALTER JOSPEH SUROWIEC JR. D.O.,F.A.C.S.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1340 BROAD AVE, STE 420
GULFPORT, MS 39501
Harrison County (228) 575-1500

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 Lissa Baber's NPI number?

The NPI number for Lissa Baber is 1306409040. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Lissa Baber located?

Lissa Baber practices at 1340 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 867-5012.

What is Lissa Baber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lissa Baber enrolled in Medicare?

Yes. Lissa Baber 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 Lissa Baber accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lissa Baber 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 Lissa Baber affiliated with any hospitals?

According to CMS data, Lissa Baber is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Lissa Baber was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.