TINA J CECCORULLI
NPI 1588015903
Nurse Practitioner - Family in Ocean Springs, MS

Q: What is Tina Ceccorulli's NPI number?

The NPI number for Tina Ceccorulli is 1588015903. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Q: What is Tina Ceccorulli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Ceccorulli was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 27, 2016PECOS Enrolled

3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564(228) 872-6291(228) 875-3385 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2016, Jun 27, 2016 (2 updates tracked since 2016).

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About Tina J Ceccorulli NPPES

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

TINA J CECCORULLI (NPI 1588015903) is an individual family provider in Ocean Springs, Mississippi, licensed in Mississippi (901580) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588015903

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA J CECCORULLI

Location Address3890 BIENVILLE BLVDOcean Springs, MS 39564-5803

Mailing Address3616 Hospital St, Suite APascagoula, MS 39581-4117 · (228) 872-7684 · Fax (228) 762-7109

Phone(228) 872-6291

Fax(228) 875-3385

Sole ProprietorNo

Enumeration DateJune 27, 2016

Last NPPES UpdateJuly 12, 20162 updates tracked since enumeration

✔ NPI 1588015903 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 · 901580

3890 BIENVILLE BLVD, Ocean Springs, MS 39564

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina J Ceccorulli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANETTE SHABAZZ

Nurse Practitioner (Family)