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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Theresa Mckissick reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 78 clinicians in this Medicare group
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 56 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 110 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 22 clinicians in this Medicare group
Columbia, MS 39429
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Fayette, AL 35555
- Reassigned Medicare billing, Alabama enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Theresa Mckissick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Mckissick reassigns Medicare benefits to 7 organizations: Rh Emergency Medicine Of Highland Community LLC (Picayune, MS), Rh Hospitalist Medicine Of Highland Community LLC (Picayune, MS), Relias Clinical Decision Specialists Of Hattiesburg, LLC (Hattiesburg, MS), Relias Emergency Medicine Specialists Of Hattiesburg LLC (Hattiesburg, MS), Relias Hospitalist Medicine Specialists Of Hattiesburg LLC (Hattiesburg, MS) and 2 more organizations, listed in the Medicare section above. Each 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 Theresa Mckissick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Mckissick accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Rh Emergency Medicine Of Highland Community LLC (NPI 1033987946, Picayune, MS); Rh Hospitalist Medicine Of Highland Community LLC (NPI 1841068756, Picayune, MS); Relias Clinical Decision Specialists Of Hattiesburg, LLC (NPI 1336867415, Hattiesburg, MS); Relias Emergency Medicine Specialists Of Hattiesburg LLC (NPI 1609409440, Hattiesburg, MS); Relias Hospitalist Medicine Specialists Of Hattiesburg LLC (NPI 1437076304, Hattiesburg, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **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.