Mrs Amanda Renia Mizell, CRNP in Gulfport, MS

Mrs Amanda Renia Mizell, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice A R Mizell Llc, Southern Family Urgent Care Llc and her current practice location is 1212 E Pass Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 896-7108.

Mrs Amanda Renia Mizell is licensed to practice in Mississippi (license number R880871) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679896575.

Contact Information

	Mrs Amanda Renia Mizell, CRNP
	1212 E Pass Rd, Gulfport, MS 39507-3403
	(228) 896-7108
	(228) 896-7174

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Renia Mizell
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	1212 E Pass Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Amanda Renia Mizell graduated from nursing school in 2009

NPI Data:

NPI Number: 1679896575
Provider Enumeration Date: 03/05/2010
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8527191279
Enrollment ID: I20100802000037

Medical Identifiers

Medical identifiers for Mrs Amanda Renia Mizell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679896575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-111977 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	R880871 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Garden Park Medical Center	Gulfport, MS	Hospital
Merit Health Biloxi	Biloxi, MS	Hospital
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
A R Mizell Llc	2961652953	3
Southern Family Urgent Care Llc	8224469952	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amanda Renia Mizell allows following entities to bill medicare on her behalf.

Entity Name	A R Mizell Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144582040 PECOS PAC ID: 2961652953 Enrollment ID: O20121029000525

Entity Name	Southern Family Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396379186 PECOS PAC ID: 8224469952 Enrollment ID: O20200513003155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Renia Mizell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Amanda Renia Mizell, CRNP Po Box 787, Grand Bay, AL 36541-0787 Ph: (228) 896-7108	Mrs Amanda Renia Mizell, CRNP 1212 E Pass Rd, Gulfport, MS 39507-3403 Ph: (228) 896-7108

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Mrs Amanda Renia Mizell, CRNP - Medicare Nurse Practitioner in Gulfport, MS