PURPLE MAGNOLIA HEALTHCARE LLC
NPI 1932965563
Nurse Practitioner - Primary Care in Gulfport, MS
About Purple Magnolia Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURPLE MAGNOLIA HEALTHCARE LLC (NPI 1932965563), doing business as Purple Magnolia Healthcare Llp., is a healthcare organization registered as a primary care in Gulfport, Mississippi and active in the NPI registry since February 2024. The organization maintains a secondary practice location in New Orleans and lists Chancelyn Penn, Owner And Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Purple Magnolia Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Purple Magnolia Healthcare LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 Purple Magnolia Healthcare LLC's NPI number?
The NPI number for Purple Magnolia Healthcare LLC is 1932965563. It was assigned to this organization in the NPPES registry on February 21, 2024. The provider was formerly known as Purple Magnolia Healthcare LLP..
Where is Purple Magnolia Healthcare LLC located?
Purple Magnolia Healthcare LLC is located at 1520 29th Ave Ste 3, Gulfport, MS 39501. The listed phone number is (601) 419-7665.
What is Purple Magnolia Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Purple Magnolia Healthcare LLC enrolled in Medicare?
Yes. Purple Magnolia Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Purple Magnolia Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Purple Magnolia 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Purple Magnolia Healthcare LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Purple Magnolia 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 Purple Magnolia Healthcare LLC was last updated on June 18, 2024. 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.
# Purple Magnolia Healthcare Llc · NPI 1932965563
Primary Care organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since February 21, 2024.
## Identity
- **NPI:** 1932965563 (Entity type: Organization)
- **Enumerated:** February 21, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Chancelyn Penn, OWNER AND PRACTITIONER
## Practice location
- **Address:** 1520 29TH AVE STE 3, Gulfport, MS 39501-2843
- **Phone:** (601) 419-7665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932965563) · Data from the CMS NPPES public registry.