Individual provider

Roxane Moncure, AGNP

Gerontology Nurse Practitioner Medicare enrolled

Roxane Moncure, AGNP is a Gerontology Nurse Practitioner in Vicksburg, MS, registered under NPI 1396202396. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1911 MISSION 66 STE B, Vicksburg, MS 39180. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1911 MISSION 66 STE B, Vicksburg, MS 39180 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AG01190040 MS Gerontology Nurse Practitioner primary

This provider holds licence AG01190040 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8224949433

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Mississippi I20191018000052 Practitioner - Nurse Practitioner
Louisiana I20250930000506 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (MS, LA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396202396 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 26, 2019
Last updatedAug 28, 2025
StatusActive
Sole proprietorYes
GenderFemale
CredentialAGNP
Practice address 1911 MISSION 66 STE B
Vicksburg, MS 39180
(601) 456-2598
Fax (855) 830-3484
Mailing address 919 RUTHERFORD DR
Jackson, MS 39206
Other identifiers 903127 · Other (MS)
This record was updated on Aug 28, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1396202396 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 2 0 2 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 4 0 4 3 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396202396?
NPI 1396202396 is the National Provider Identifier assigned to Roxane Moncure, AGNP in Vicksburg, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Roxane Moncure, AGNP?
The phone number on file with NPPES is (601) 456-2598, last updated Aug 28, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Roxane Moncure, AGNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396202396 a valid number?
Yes. 1396202396 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.