MRS. JOANNE FAIRLEY NP
NPI 1972984136
Nurse Practitioner in Gulfport, MS
About Mrs. Joanne Fairley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOANNE FAIRLEY NP (NPI 1972984136) is an individual nurse practitioner in Gulfport, Mississippi, licensed in Arizona (281478) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
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. Joanne Fairley Np 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
2Medicare enrollment records show Joanne Fairley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richland, MS 39218
- Reassigned Medicare billing, Mississippi enrollment
- 46 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Tennessee enrollment
- 40 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joanne Fairley's NPI number?
The NPI number for Joanne Fairley is 1972984136. It was assigned to this individual provider in the NPPES registry on June 13, 2015. The provider is also known as Prof. Joanna Fairley Phd.
Where is Joanne Fairley located?
Joanne Fairley practices at 14116 Customs Blvd, Gulfport, MS 39503. The listed phone number is (601) 957-6300.
What is Joanne Fairley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Joanne Fairley enrolled in Medicare?
Yes. Joanne Fairley 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 Joanne Fairley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Fairley reassigns Medicare benefits to 2 organizations: Medical Systems Management LLC (Richland, MS) and Landmark Medical Of Tennessee PC (Brentwood, TN). 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 Joanne Fairley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joanne Fairley 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 Joanne Fairley 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 Joanne Fairley was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Joanne Fairley, NP · NPI 1972984136
Nurse Practitioner physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since June 13, 2015.
## Identity
- **NPI:** 1972984136 (Entity type: Individual)
- **Enumerated:** June 13, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 281478 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14116 CUSTOMS BLVD, Gulfport, MS 39503-5164
- **Phone:** (601) 957-6300
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Systems Management LLC (NPI 1740555267, Richland, MS); Landmark Medical Of Tennessee PC (NPI 1396498143, Brentwood, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1972984136) · Data from the CMS NPPES public registry.