Manivanh Prudhomme, MSN, FNP-BC, AGACNP-
NPI 1144831140 · Family Nurse Practitioner · Vicksburg, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Manivanh Prudhomme, MSN, FNP-BC, AGACNP- is a Family Nurse Practitioner provider in Vicksburg, MS (NPI 1144831140).
Provider details
- NPI number
- 1144831140
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, FNP-BC, AGACNP-
- Sex
- Female
- Sole proprietor
- No
- License
- 904068 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,003 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 230 | $96 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 169 | $11 |
| Detection Test By Immunoassay Technique for Influenza Virus87400 | 134 | $14 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 87 | $35 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $69 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 59 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 82 | 75 |
| Diclofenac Sodium | 45 | 20 |
| Cefdinir | 32 | 30 |
| Doxycycline Hyclate | 29 | 28 |
| Amlodipine Besylate | 26 | 16 |
| Omeprazole | 25 | 14 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 23 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$123 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Frequently asked questions
- What is Manivanh Prudhomme's NPI number?
- Manivanh Prudhomme's National Provider Identifier (NPI) is 1144831140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Manivanh Prudhomme's specialty?
- Manivanh Prudhomme is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Manivanh Prudhomme located?
- Manivanh Prudhomme's practice location on file with NPPES is 2011 Highway 61 N, Vicksburg, MS 39183-3918.
- What is Manivanh Prudhomme's phone number?
- The practice phone number listed in the NPPES registry for Manivanh Prudhomme is (014) 562-2776.
- Does Manivanh Prudhomme accept Medicare?
- Manivanh Prudhomme is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Manivanh Prudhomme's NPI active?
- Yes — Manivanh Prudhomme's NPI (1144831140) is active in the NPPES registry as of the last update on 2021-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.