Stephanie Edmondson, APRN in Ocean Springs, MS

Stephanie Edmondson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ocean Springs, Mississippi. Her current practice location is 3535 Bienville Blvd, Ocean Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 872-1641.

Stephanie Edmondson is licensed to practice in Mississippi (license number 907565) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073212585.

Contact Information

	Stephanie Edmondson, APRN
	3535 Bienville Blvd, Ocean Springs, MS 39564-5705
	(228) 872-1641
	(228) 809-5585

Map and Direction

Provider's Profile

Full Name	Stephanie Edmondson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3535 Bienville Blvd, Ocean Springs, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073212585
Provider Enumeration Date: 02/23/2023
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9436517034
Enrollment ID: I20230613003833

Medical Identifiers

Medical identifiers for Stephanie Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073212585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	223478 (Arkansas)	Secondary
363LF0000X	Nurse Practitioner - Family	907565 (Mississippi)	Primary

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. Stephanie Edmondson allows following entities to bill medicare on her behalf.

Entity Name	Roller Weight Loss Institute, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073743399 PECOS PAC ID: 0446398770 Enrollment ID: O20091106000368

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. Stephanie Edmondson 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
Stephanie Edmondson, APRN 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576	Stephanie Edmondson, APRN 3535 Bienville Blvd, Ocean Springs, MS 39564-5705 Ph: (228) 872-1641

Reviews and Comments

Nurse Practitioner Nurses in Ocean Springs, MS

Stephanie N Nguyen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564 Phone: 228-872-4040 Fax: 228-872-3612
Patricia Lewis, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1124 Oakleigh Rd, Ocean Springs, MS 39564 Phone: 228-875-3778
John Slover, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111
Lauren Elizabeth Hitt, N.P-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10404 Tucker Rd, Ocean Springs, MS 39565 Phone: 223-354-9505 Fax: 228-354-9575
Christal Sareda Fairley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3099 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-872-2403
Mrs. Christine Tracey Balius, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1158

Stephanie Edmondson, APRN - Medicare Nurse Practitioner in Ocean Springs, MS