PRIMESOURCE NURSING SERVICES, INC
NPI 1952884652
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS
About Primesource Nursing Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMESOURCE NURSING SERVICES, INC (NPI 1952884652) is a healthcare organization registered as a psychiatric/mental health in Gulfport, Mississippi and active in the NPI registry since September 2018. The organization lists Rhett Plauche, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primesource Nursing Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Primesource Nursing Services, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Primesource Nursing Services, Inc's NPI number?
The NPI number for Primesource Nursing Services, Inc is 1952884652. It was assigned to this organization in the NPPES registry on September 10, 2018.
Where is Primesource Nursing Services, Inc located?
Primesource Nursing Services, Inc is located at 1500 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 865-1330.
What is Primesource Nursing Services, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Primesource Nursing Services, Inc enrolled in Medicare?
Yes. Primesource Nursing Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primesource Nursing Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Primesource Nursing Services, Inc. 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 Nurse Practitioner (5) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Primesource Nursing Services, Inc was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Primesource Nursing Services, Inc · NPI 1952884652
Psychiatric/Mental Health organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since September 10, 2018.
## Identity
- **NPI:** 1952884652 (Entity type: Organization)
- **Enumerated:** September 10, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** Yes (part of Primesource Nursing Services, Inc)
- **Authorized official:** Rhett Plauche, PRESIDENT
## Practice location
- **Address:** 1500 BROAD AVE, Gulfport, MS 39501-3601
- **Phone:** (228) 865-1330 · **Fax:** (228) 865-1331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1952884652) · Data from the CMS NPPES public registry.