MRS. JOANNE FAIRLEY NP
NPI 1972984136
Nurse Practitioner in Gulfport, MS

Active since June 13, 2015PECOS EnrolledAccepts Medicare Assignment
14116 CUSTOMS BLVD, GULFPORT, MS 39503(601) 957-6300 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2022, Oct 25, 2019, Nov 19, 2015 (3 updates tracked since 2015).

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 and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972984136
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JOANNE FAIRLEYCredential: NP
Location Address14116 CUSTOMS BLVDGulfport, MS 39503-5164
Mailing Address7755 Center Ave, Ste 630Huntington Beach, CA 92647-9152 · (657) 400-5180
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 13, 2015
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1972984136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in AZ · 281478 Licensed in MS · R781853
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R781853 (MS)
14116 CUSTOMS BLVD, Gulfport, MS 39503

Other Names 1

Professional Name (2)Prof. Joanna Fairley Phd

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022318666
PECOS Enrollment IDI20230315000149
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Family Medicine
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Nurse Practitioner (Acute Care)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Nurse Practitioner
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503

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.

What insurance does Joanne Fairley accept?

Health plans from Molina Healthcare and Providence Health Plan 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 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.