PRIMESOURCE NURSING SERVICES, INC
NPI 1962573170
Nurse Practitioner - Family in Gulfport, MS

Q: What is Primesource Nursing Services, Inc's NPI number?

The NPI number for Primesource Nursing Services, Inc is 1962573170. It was assigned to this organization in the NPPES registry on November 10, 2006.

Q: What is Primesource Nursing Services, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 10, 2006

1822 15TH ST STE A, GULFPORT, MS 39501(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Primesource Nursing Services, Inc NPPES

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

PRIMESOURCE NURSING SERVICES, INC (NPI 1962573170) is a healthcare organization registered as a family in Gulfport, Mississippi and active in the NPI registry since November 2006. The organization lists Jana Plauche, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962573170

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePRIMESOURCE NURSING SERVICES, INC

Location Address1822 15TH ST STE AGulfport, MS 39501-2104

Mailing AddressPo Box 6705Gulfport, MS 39506-6705 · (228) 865-1330 · Fax (228) 865-1331

Phone(228) 865-1330

Fax(228) 865-1331

Organization SubpartNo

Authorized OfficialJana PlaucheVice President · (228) 865-1330

Enumeration DateNovember 10, 2006

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1962573170 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

License✔ Licensed in MS · 7381

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

1822 15TH ST STE A, Gulfport, MS 39501

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Other Identifiers 1

Medicaid06550237MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 1962573170. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Primesource Nursing Services, Inc located?

Primesource Nursing Services, Inc is located at 1822 15th St Ste A, 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 Family, with taxonomy code 363LF0000X.

What insurance does Primesource Nursing Services, Inc accept?

Health plans from Molina Healthcare list Primesource Nursing Services, Inc 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 Primesource Nursing Services, Inc was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.