TOMIKA MARIE DEDEAUX FNP-C
NPI 1861957631
Nurse Practitioner - Family in Biloxi, MS

Q: What is Tomika Dedeaux's NPI number?

The NPI number for Tomika Dedeaux is 1861957631. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Q: What is Tomika Dedeaux'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 Tomika Dedeaux was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 06, 2019PECOS EnrolledAccepts Medicare Assignment

1990 POPPS FERRY RD, BILOXI, MS 39532(228) 383-5119 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2023, Jul 31, 2019, Feb 6, 2019 (3 updates tracked since 2019).

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About Tomika Marie Dedeaux Fnp-c NPPES

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

TOMIKA MARIE DEDEAUX FNP-C (NPI 1861957631) is an individual family provider in Biloxi, Mississippi, licensed in Mississippi (903126) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861957631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTOMIKA MARIE DEDEAUXCredential: FNP-C

Location Address1990 POPPS FERRY RDBiloxi, MS 39532-2015

Mailing Address1990 Popps Ferry RdBiloxi, MS 39532-2015 · (228) 383-5119

Phone(228) 383-5119

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 6, 2019

Last NPPES UpdateNovember 17, 20233 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1861957631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MS · 903126✔ Licensed in LA · 203427

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 903126 (MS)

1990 POPPS FERRY RD, Biloxi, MS 39532

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Secondary Practice Locations 3

Location 115200 Community RdGulfport, MS 39503-3085 · Phone (228) 383-5119

Location 21001 Gause BlvdSlidell, LA 70458-2939 · Phone (228) 383-5119

Location 3283 Debuys RdGulfport, MS 39507-2800 · Phone (228) 838-0383

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Tomika Marie Dedeaux Fnp-c 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 ID7618387952

PECOS Enrollment IDI20250213002628

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.

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39532 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 11

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

KRISTY RENA ROBBINS

Nurse Practitioner (Family)