COAST NURSE PRACTITIONERS, INC
NPI 1962683623
Nurse Practitioner - Family in Vancleave, MS
About Coast Nurse Practitioners, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COAST NURSE PRACTITIONERS, INC (NPI 1962683623) is a healthcare organization registered as a family in Vancleave, Mississippi and active in the NPI registry since November 2007. The organization lists John M Martin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Coast Nurse Practitioners, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coast Nurse Practitioners, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Coast Nurse Practitioners, Inc's NPI number?
The NPI number for Coast Nurse Practitioners, Inc is 1962683623. It was assigned to this organization in the NPPES registry on November 21, 2007.
Where is Coast Nurse Practitioners, Inc located?
Coast Nurse Practitioners, Inc is located at 13300 Rs Kimball Rd, Vancleave, MS 39565. The listed phone number is (228) 826-4600.
What is Coast Nurse Practitioners, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Coast Nurse Practitioners, Inc enrolled in Medicare?
Yes. Coast Nurse Practitioners, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coast Nurse Practitioners, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Coast Nurse Practitioners, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coast Nurse Practitioners, Inc was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Coast Nurse Practitioners, Inc · NPI 1962683623
Family organization in Vancleave, Mississippi. Organization record, active in the CMS NPPES registry since November 21, 2007.
## Identity
- **NPI:** 1962683623 (Entity type: Organization)
- **Enumerated:** November 21, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** John Martin, OWNER
## Practice location
- **Address:** 13300 RS KIMBALL RD, Vancleave, MS 39565-7235
- **Phone:** (228) 826-4600 · **Fax:** (228) 392-8393
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2007
- **Other identifiers:** Medicare PIN C03299 (MS); Medicare UPIN P20213 (MS); Medicaid 00126136 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1962683623) · Data from the CMS NPPES public registry.