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LAMONICE MARIE MCCULLOM NP
NPI 1760284483
Nurse Practitioner in Waveland, MS

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment
451 HIGHWAY 90, WAVELAND, MS 39576(228) 400-0055 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lamonice Marie Mccullom Np NPPES

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

LAMONICE MARIE MCCULLOM NP (NPI 1760284483) is an individual nurse practitioner in Waveland, Mississippi, licensed in Mississippi (907308) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center-hancock, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760284483
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAMONICE MARIE MCCULLOMCredential: NP
Location Address451 HIGHWAY 90Waveland, MS 39576-2507
Mailing Address10580 Steeplechase DrGulfport, MS 39503-4279 · (228) 224-7953
Phone(228) 400-0055
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1760284483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 907308
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
451 HIGHWAY 90, Waveland, MS 39576
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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

Lamonice Marie Mccullom Np 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 ID7517477995
PECOS Enrollment IDI20250605003975
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.

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39576 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.

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 Lamonice Mccullom's NPI number?

The NPI number for Lamonice Mccullom is 1760284483. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Lamonice Mccullom located?

Lamonice Mccullom practices at 451 Highway 90, Waveland, MS 39576. The listed phone number is (228) 400-0055.

What is Lamonice Mccullom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lamonice Mccullom enrolled in Medicare?

Yes. Lamonice Mccullom 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.

Is Lamonice Mccullom affiliated with any hospitals?

According to CMS data, Lamonice Mccullom is affiliated with Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Lamonice Mccullom was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.