PAULA PERTEET (FNP) – Nurse Practitioner, NPI 1164089322

PAULA PERTEET (FNP) is a healthcare provider. based in Durant, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 903318 (MS). The NPI Number for PAULA PERTEET (FNP) is 1164089322

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
PAULA PERTEET (FNP)
NPI
1164089322
Phone
(662) 653-3828
Address
403 NW Depot St
Enumeration Date
23 May 2019
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625374830
Graduation Year
2018 (8 years ago)
PAC ID
3375973555
Group Practice PAC ID
4587998547
Professional Enrollment ID
I20200501000944
Address ID
MS387033253GR1727XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for PAULA PERTEET (FNP)

  • 403 NW Depot St

    Durant, MS 390633705

    Phone: (662) 653-3828

    Fax: (662) 653-3829

    Type: Location

  • 403 NW DEPOT ST

    DURANT, MS 390633705

    Phone: (662) 653-3828

    Fax: (662) 653-3829

    Type: Location

  • 215 KATHERINE DR STE A

    FLOWOOD, MS 392329588

    Phone: (601) 665-4162

    Fax: (855) 830-3484

    Type: Location

  • 12, Big Barn Road, Lexington, Fayette County, Kentucky, United States

    LEXINGTON, MS 390953118

    Phone: (662) 834-1961

    Fax: (662) 834-1962

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($70).

Total Amount

$182

General + Research + Ownership

Payments

10

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200501000944INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month7632$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month5326$0
View full utilization report →

Insurance plans in this area (ZIP 39063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587998547View full group profile
NameSpecialtyState
Clinical Social WorkerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Clinical Social WorkerMS
Nurse PractitionerMS
Mental Health CounselorMS
Nurse PractitionerTN
Nurse PractitionerMS
Clinical Social WorkerMS

Reviews

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Frequently asked questions

What identifier follows PAULA PERTEET (FNP) across health systems?
The NPI 1164089322 uniquely identifies PAULA PERTEET (FNP) in U.S. healthcare data.
Is PAULA PERTEET (FNP)'s NPI status active today?
Active status means PAULA PERTEET (FNP)'s NPI record is not deactivated in the public file.
What type of care does PAULA PERTEET (FNP) provide?
PAULA PERTEET (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PAULA PERTEET (FNP)?
PAULA PERTEET (FNP) is associated with Durant, Mississippi in the same public data insurers reference.
Can I export PAULA PERTEET (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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