VICKSBURG HEALTHCARE LLC
NPI 1629084058
Anesthesiology in Vicksburg, MS
About Vicksburg Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKSBURG HEALTHCARE LLC (NPI 1629084058), doing business as River Region Health System, is a healthcare organization registered as an anesthesiology in Vicksburg, Mississippi and active in the NPI registry since July 2006. The organization maintains 4 additional practice locations and lists Kristy Music, Director Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Secondary Practice Locations 4
Other Identifiers 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vicksburg Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Vicksburg Healthcare LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 34Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vicksburg Healthcare LLC's NPI number?
The NPI number for Vicksburg Healthcare LLC is 1629084058. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as River Region Health System.
Where is Vicksburg Healthcare LLC located?
Vicksburg Healthcare LLC is located at 2100 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 883-5695.
What is Vicksburg Healthcare LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Vicksburg Healthcare LLC enrolled in Medicare?
Yes. Vicksburg Healthcare LLC is registered in the Medicare PECOS enrollment system.
When is Vicksburg Healthcare LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vicksburg Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 14 Medicare specialties reassign their Medicare billing to Vicksburg Healthcare LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (12), Nurse Practitioner (5) and General Surgery (4). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vicksburg Healthcare LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Vicksburg Healthcare LLC 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.
When was this NPI record last updated?
The NPPES record for Vicksburg Healthcare LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Vicksburg Healthcare Llc · NPI 1629084058
Anesthesiology organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1629084058 (Entity type: Organization)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Also known as:** River Region Health System (Doing Business As)
- **Organization subpart:** Yes (part of Vicksburg Healthcare Llc)
- **Authorized official:** Kristy Music, DIRECTOR PROVIDER ENROLLMENT
## Practice location
- **Address:** 2100 HIGHWAY 61 N, Vicksburg, MS 39183-8211
- **Phone:** (601) 883-5695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 34 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (12), Nurse Practitioner (5), General Surgery (4); 7 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1629084058/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Medicaid 200010284 (MS); Medicaid 1444600 (LA); Medicaid 200008980 (MS); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629084058) · Data from the CMS NPPES public registry.