MARY EDITH DENIUS FNP
NPI 1427349273
Nurse Practitioner - Family in Poplarville, MS

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
6230 HIGHWAY 53, POPLARVILLE, MS 39470(601) 408-0916 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Edith Denius Fnp NPPES

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

MARY EDITH DENIUS FNP (NPI 1427349273) is an individual family provider in Poplarville, Mississippi, licensed in Mississippi (R876536) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1427349273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY EDITH DENIUSCredential: FNP
Location Address6230 HIGHWAY 53Poplarville, MS 39470-8416
Mailing Address6230 Highway 53Poplarville, MS 39470-8416 · (601) 408-0916
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 27, 2011
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1427349273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R876536
6230 HIGHWAY 53, Poplarville, MS 39470

Other Names 1

Professional Name (2)Edye Denius Fnp

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

Mary Edith Denius Fnp 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 ID7517135445
PECOS Enrollment IDI20110720000722
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 Reassignments

3

Medicare enrollment records show Mary Denius reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4300 LEISURE TIME DR, SUITE A
Diamondhead, MS 39525
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
Emergency Medicine
149 DRINKWATER RD
Bay St Louis, MS 39520
  • Reassigned Medicare billing, Mississippi enrollment
  • 87 clinicians in this Medicare group
Urgent Care
10556 HIGHWAY 49
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 65 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

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.
24 services24 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 39470 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.

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 Mary Denius's NPI number?

The NPI number for Mary Denius is 1427349273. It was assigned to this individual provider in the NPPES registry on April 27, 2011. The provider is also known as Edye Denius Fnp.

Where is Mary Denius located?

Mary Denius practices at 6230 Highway 53, Poplarville, MS 39470. The listed phone number is (601) 408-0916.

What is Mary Denius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Denius enrolled in Medicare?

Yes. Mary Denius 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 Mary Denius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Denius reassigns Medicare benefits to 3 organizations: Memorial Hospital At Gulfport (Diamondhead, MS), Hancock Emergency Group LLC (Bay St Louis, MS) and Orange Grove Urgent Care (Gulfport, MS). 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 Mary Denius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Denius accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mary Denius 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 Mary Denius affiliated with any hospitals?

According to CMS data, Mary Denius is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Mary Denius was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.