Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellanie L Bessonette, AGACNP

Individual provider Nurse Practitioner · NPI 1164815007

Ellanie L Bessonette, AGACNP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2014, 12 years ago. Practices with Kings Daughters Medical Center, a 76-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
Specialties on file
2

Practice location Address checks out

303 Marion Ave
McComb, MS 39648-2707
Phone: (601) 249-1350
Fax: (601) 249-1339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 882864 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R882864 (MS)

Record details

NPI number1164815007
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 17, 2015
Last updated in NPPESFebruary 3, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kings Daughters Medical Center — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in McComb