ALICIA LEE ELLSBERRY FNP
NPI 1497374490
Nurse Practitioner in Gulfport, MS
About Alicia Lee Ellsberry Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA LEE ELLSBERRY FNP (NPI 1497374490) is an individual nurse practitioner in Gulfport, Mississippi, licensed in Mississippi (903899) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Alicia Lee Ellsberry 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Ellsberry 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 6
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.
Referred Medical Equipment & Supplies CMS DME claims 2
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.
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 Alicia Ellsberry's NPI number?
The NPI number for Alicia Ellsberry is 1497374490. It was assigned to this individual provider in the NPPES registry on April 10, 2020. The provider is also known as Alicia Beasley.
Where is Alicia Ellsberry located?
Alicia Ellsberry practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 867-5201.
What is Alicia Ellsberry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Alicia Ellsberry enrolled in Medicare?
Yes. Alicia Ellsberry 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 Alicia Ellsberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Ellsberry 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 Alicia Ellsberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Ellsberry accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Alicia Ellsberry 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 Alicia Ellsberry affiliated with any hospitals?
According to CMS data, Alicia Ellsberry is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Alicia Ellsberry was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Alicia Lee Ellsberry, FNP · NPI 1497374490
Nurse Practitioner physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1497374490 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 903899 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39501-2515
- **Phone:** (228) 867-5201
## 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 1073606901, Gulfport, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497374490) · Data from the CMS NPPES public registry.