MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
NPI 1366380248
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Q: What is Magnolia Mental Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 23, 2026

549 E PASS RD, GULFPORT, MS 39507(228) 338-6853(228) 333-0682 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Magnolia Mental Health And Wellness Pllc NPPES

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

MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC (NPI 1366380248) is a healthcare organization registered as a psychiatric/mental health in Gulfport, Mississippi and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Biloxi and lists Charlotte Aeger Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1366380248

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMAGNOLIA MENTAL HEALTH AND WELLNESS PLLC

Location Address549 E PASS RDGulfport, MS 39507-3261

Mailing Address1110 Cowan Rd Ste B, #202Gulfport, MS 39507-3441 · (228) 338-6853 · Fax (228) 333-0682

Phone(228) 338-6853

Fax(228) 333-0682

Organization SubpartNo

Authorized OfficialCharlotte Aeger RossOwner · (228) 338-6853

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1366380248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

549 E PASS RD, Gulfport, MS 39507

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Secondary Practice Location 1

Location 1180 Debuys RdBiloxi, MS 39531-4402 · Phone (228) 388-0600

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 Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Mental Health And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Mental Health And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charlotte Aeger Ross, PMHNP

Nurse Practitioner

NPI 1689439945

549 E PASS RD
Gulfport, MS 39507

(228) 338-6853

✔ PECOS✔ Accepts MedicareSame address

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

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 Magnolia Mental Health And Wellness PLLC's NPI number?

The NPI number for Magnolia Mental Health And Wellness PLLC is 1366380248. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Magnolia Mental Health And Wellness PLLC located?

Magnolia Mental Health And Wellness PLLC is located at 549 E Pass Rd, Gulfport, MS 39507. The listed phone number is (228) 338-6853.

What is Magnolia Mental Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Magnolia Mental Health And Wellness PLLC enrolled in Medicare?

Yes. Magnolia Mental Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Mental Health And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Magnolia Mental Health And Wellness PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Magnolia Mental Health And Wellness PLLC accept?

Health plans from Molina Healthcare list Magnolia Mental Health And Wellness PLLC 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 Magnolia Mental Health And Wellness PLLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.