MRS. THERESA DANYELL MCKISSICK APRN
NPI 1962100347
Nurse Practitioner - Family in Perkinston, MS
About Mrs. Theresa Danyell Mckissick Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. THERESA DANYELL MCKISSICK APRN (NPI 1962100347) is an individual family provider in Perkinston, Mississippi, licensed in Mississippi (905796) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of University Of South Alabama College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mrs. Theresa Danyell Mckissick Aprn 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Forrest General Hospital
Acute Care Hospitals · Hattiesburg, MSHighland Community Hospital
Acute Care Hospitals · Picayune, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Theresa Mckissick's NPI number?
The NPI number for Theresa Mckissick is 1962100347. It was assigned to this individual provider in the NPPES registry on February 16, 2023.
Where is Theresa Mckissick located?
Theresa Mckissick practices at 365 Wire Rd W, Perkinston, MS 39573. The listed phone number is (601) 528-1496.
What is Theresa Mckissick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Mckissick enrolled in Medicare?
Yes. Theresa Mckissick 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.
What insurance does Theresa Mckissick accept?
Health plans from Molina Healthcare list Theresa Mckissick 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.
Is Theresa Mckissick affiliated with any hospitals?
According to CMS data, Theresa Mckissick is affiliated with Forrest General Hospital and Highland Community Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Mckissick was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Theresa Danyell Mckissick, APRN · NPI 1962100347
Family physician in Perkinston, Mississippi. Individual provider, active in the CMS NPPES registry since February 16, 2023.
## Identity
- **NPI:** 1962100347 (Entity type: Individual)
- **Enumerated:** February 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905796 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 WIRE RD W, Perkinston, MS 39573-5723
- **Phone:** (601) 528-1496
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of South Alabama College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** February 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962100347) · Data from the CMS NPPES public registry.