MRS. URSULA SHENE BROOKS-CLEMONS FPMHNP
NPI 1558727560
Nurse Practitioner - Psychiatric/Mental Health in Mccomb, MS

Q: What is Ursula Brooks-clemons's NPI number?

The NPI number for Ursula Brooks-clemons is 1558727560. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Q: What is Ursula Brooks-clemons's specialty?

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

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment

1701 WHITE ST, MCCOMB, MS 39648(601) 249-4217(601) 249-4234 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2021, Apr 14, 2021, Aug 6, 2018 and 1 more (4 updates tracked since 2016).

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About Mrs. Ursula Shene Brooks-clemons Fpmhnp NPPES

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

MRS. URSULA SHENE BROOKS-CLEMONS FPMHNP (NPI 1558727560) is an individual psychiatric/mental health provider in Mccomb, Mississippi, licensed in Mississippi (901383) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Delhi, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558727560

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. URSULA SHENE BROOKS-CLEMONSCredential: FPMHNP

Location Address1701 WHITE STMccomb, MS 39648

Mailing Address1701 White StMccomb, MS 39648 · (601) 249-4217 · Fax (601) 249-4234

Phone(601) 249-4217

Fax(601) 249-4234

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 6, 2016

Last NPPES UpdateMay 25, 20214 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1558727560 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

Licenses✔ Licensed in MS · 901383✔ Licensed in MS · 869412✔ Licensed in LA · AP08693

1701 WHITE ST, Mccomb, MS 39648

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Secondary Practice Location 1

Location 1501 Broadway StDelhi, LA 71232-3001 · Phone (318) 878-8656 · Fax (318) 878-2831

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Mrs. Ursula Shene Brooks-clemons Fpmhnp 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 ID2365748670

PECOS Enrollment IDI20190528000223

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

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

Claiborne County Family Health Center

58 mi

Federally Qualified Health Center (FQHC)

2045 HIGHWAY 61 NORTH
Port Gibson, MS 39150

Reassigned Medicare billing, Mississippi enrollment
10 clinicians in this Medicare group

NPI 1235133968 (601) 437-3049

Mindbody Health & Wellness Clinic LLC

59 mi

Psychiatric/Mental Health

415 STATE ST.
Natchez, MS 39120

Reassigned Medicare billing, Mississippi enrollment

NPI 1750140786 (769) 355-2138

Concordia Parish Hospital Service District Number One

67 mi

Family Medicine

6569 HIGHWAY 84
Ferriday, LA 71334

Reassigned Medicare billing, Louisiana enrollment
63 clinicians in this Medicare group

NPI 1952565335 (318) 757-6551

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 39648 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.

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.

AMANDA CLARK

Counselor