LISSA KELLY BABER AGACNP
NPI 1306409040
Nurse Practitioner - Acute Care in Gulfport, MS
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Lissa Baber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 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.
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.
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, MSPhysician 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.
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.
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
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.
Which organization bills Medicare for Lissa Baber's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lissa Baber reassigns Medicare benefits to Memorial Hospital At Gulfport (Gulfport, 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 Lissa Baber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lissa Baber accept?
Health plans from Cigna Healthcare and UnitedHealthcare 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.
# Lissa Kelly Baber, AGACNP · NPI 1306409040
Acute Care physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1306409040 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 903259 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1340 BROAD AVE, Gulfport, MS 39501-2404
- **Phone:** (228) 867-5012
## 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:** Memorial Hospital At Gulfport (NPI 1093142598, Gulfport, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1306409040) · Data from the CMS NPPES public registry.