PRIMESOURCE NURSING SERVICES, INC
NPI 1962573170
Nurse Practitioner - Family 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 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
Specialties & Licenses 2
Other Identifiers 1
Group Practice 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)
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 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.
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.
What insurance does Primesource Nursing Services, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 4 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.
# Primesource Nursing Services, Inc · NPI 1962573170
Family organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1962573170 (Entity type: Organization)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jana Plauche, VICE PRESIDENT
## Practice location
- **Address:** 1822 15TH ST STE A, Gulfport, MS 39501-2104
- **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:** June 8, 2026
- **Other identifiers:** Medicaid 06550237 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1962573170) · Data from the CMS NPPES public registry.