ROXANE THERESA MONCURE AGNP
NPI 1396202396
Nurse Practitioner - Gerontology in Vicksburg, MS
About Roxane Theresa Moncure Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROXANE THERESA MONCURE AGNP (NPI 1396202396) is an individual gerontology provider in Vicksburg, Mississippi, licensed in Mississippi (AG01190040) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Roxane Theresa Moncure Agnp 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 Reassignments
7Medicare enrollment records show Roxane Moncure reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi and Louisiana enrollments
- Also billed through NPI 1093554982 (Louisiana)
- 32 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 36 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 117 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 164 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Mississippi enrollment
- 96 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
VICKSBURG, MS 39180
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 Roxane Moncure's NPI number?
The NPI number for Roxane Moncure is 1396202396. It was assigned to this individual provider in the NPPES registry on February 26, 2019.
Where is Roxane Moncure located?
Roxane Moncure practices at 1911 Mission 66 Ste B, Vicksburg, MS 39180. The listed phone number is (601) 456-2598.
What is Roxane Moncure's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Roxane Moncure enrolled in Medicare?
Yes. Roxane Moncure 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 organizations bill Medicare for Roxane Moncure's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roxane Moncure reassigns Medicare benefits to 7 organizations: Mdb Behavioral Health Services LLC (Vicksburg, MS), Heal All Wound Care LLC (Jackson, MS), MD Billing, LLC (Jackson, MS), Mdb Care Management LLC (Flowood, MS), Wound Management Specialists, LLC (Flowood, MS) and 2 more organizations, listed in the Medicare section above. Each 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 Roxane Moncure'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 Roxane Moncure was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Roxane Theresa Moncure, AGNP · NPI 1396202396
Gerontology physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since February 26, 2019.
## Identity
- **NPI:** 1396202396 (Entity type: Individual)
- **Enumerated:** February 26, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AG01190040 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1911 MISSION 66 STE B, Vicksburg, MS 39180-3762
- **Phone:** (601) 456-2598 · **Fax:** (855) 830-3484
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Mdb Behavioral Health Services LLC (NPI 1669835310, Vicksburg, MS); Heal All Wound Care LLC (NPI 1477479384, Jackson, MS); MD Billing, LLC (NPI 1548474042, Jackson, MS); Mdb Care Management LLC (NPI 1144925272, Flowood, MS); Wound Management Specialists, LLC (NPI 1972150084, Flowood, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 28, 2025
- **Other identifiers:** Other 903127 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1396202396) · Data from the CMS NPPES public registry.