MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689439945

MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) is a healthcare provider. based in Biloxi, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 906505 (MS). The NPI Number for MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) is 1689439945

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP)
NPI
1689439945
Phone
(228) 861-0707
Address
12456 JOHN LEE RD
Enumeration Date
15 February 2024
Last Update Date
28 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6015305317
Graduation Year
2023 (3 years ago)
PAC ID
9335589936
Group Practice PAC ID
6305237504
Professional Enrollment ID
I20240430002103
Address ID
MS395535305GA2012X90XX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP)

  • 12456 JOHN LEE RD

    BILOXI, MS 395329646

    Phone: (228) 861-0707

    Type: Mailing

  • 549 E PASS RD

    GULFPORT, MS 395073261

    Phone: (228) 338-6853

    Fax: (228) 333-0682

    Type: Location

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 $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($173).

Total Amount

$266

General + Research + Ownership

Payments

10

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-30

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
I20240430002103INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39532)

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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: 6305237504View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

How do payers reference MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP)?
For MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP), use NPI 1689439945 as the unique 10-digit identifier.
Would MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) appear as active to a payer?
You can treat MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP)?
At a glance, MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP)?
Travel planning: use Biloxi, Mississippi as the reference point for MRS. CHARLOTTE MARIE AEGER ROSS (PMHNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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