SUSAN L DUBOSE FNP-BC
NPI 1619274032
Nurse Practitioner - Family in Sumrall, MS

Active since February 21, 2011PECOS EnrolledAccepts Medicare Assignment
1238 HIGHWAY 42, SUMRALL, MS 39482(601) 758-3100 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Oct 1, 2020, Feb 14, 2020 (3 updates tracked since 2020).

About Susan L Dubose Fnp-bc NPPES

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

SUSAN L DUBOSE FNP-BC (NPI 1619274032) is an individual family provider in Sumrall, Mississippi, licensed in Mississippi (R872039) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619274032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN L DUBOSECredential: FNP-BC
Location Address1238 HIGHWAY 42Sumrall, MS 39482-9519
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 758-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 21, 2011
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
NPI 1619274032 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 · R872039
1238 HIGHWAY 42, Sumrall, MS 39482

Secondary Practice Locations 3

Location 1222 S 27th AveHattiesburg, MS 39401-7165 · Phone (601) 450-3030 · Fax (601) 450-3031
Location 2403 Pine StTaylorsville, MS 39168-5659 · Phone (601) 785-0202 · Fax (601) 785-0205
Location 330 Circle J Dr Ste 1Laurel, MS 39440-1981 · Phone (601) 425-0092

Other Identifiers 3

Other12214870MS · C A Q H Provider Number
Other926646MS · Aetna
Medicaid03388585MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan L Dubose Fnp-bc 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 ID6901080076
PECOS Enrollment IDI20110414000208
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.

Areas of Expertise CMS Part B claims 18

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
366 services225 patients
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.
281 services203 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
148 services102 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
146 services114 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
144 services33 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
134 services63 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Jefferson Davis Community Hospital Cah

Critical Access Hospitals · Prentiss, MS
OwnershipGovernment - State
CMS Certification Number251326
Location1102 Rose StreetPrentiss, MS 39474 · Jefferson Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39482 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 8

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

Nurse Practitioner (Family)
1238 HIGHWAY 42
SUMRALL, MS 39482
Nurse Practitioner (Family)
1238 HIGHWAY 42
SUMRALL, MS 39482
Family Medicine
1238 HIGHWAY 42
SUMRALL, MS 39482
Nurse Practitioner
1238 HIGHWAY 42
SUMRALL, MS 39482
Nurse Practitioner (Family)
1238 HIGHWAY 42
SUMRALL, MS 39482
Nurse Practitioner (Family)
1238 HIGHWAY 42
SUMRALL, MS 39482
Family Medicine
1238 HIGHWAY 42
SUMRALL, MS 39482
Family Medicine
1238 HIGHWAY 42
SUMRALL, MS 39482

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 Susan Dubose's NPI number?

The NPI number for Susan Dubose is 1619274032. It was assigned to this individual provider in the NPPES registry on February 21, 2011.

Where is Susan Dubose located?

Susan Dubose practices at 1238 Highway 42, Sumrall, MS 39482. The listed phone number is (601) 758-3100.

What is Susan Dubose's specialty?

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

Is Susan Dubose enrolled in Medicare?

Yes. Susan Dubose 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.

What insurance does Susan Dubose accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Susan Dubose 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 Susan Dubose affiliated with any hospitals?

According to CMS data, Susan Dubose is affiliated with Forrest General Hospital and Jefferson Davis Community Hospital Cah.

When was this NPI record last updated?

The NPPES record for Susan Dubose was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.