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

Individual provider Acute Care Nurse Practitioner · NPI 1306409040

Lissa Kelly Baber, AGACNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2018, 8 years ago. Practices with Exceed Physical Therapy, LLC, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

1340 Broad Ave
Gulfport, MS 39501-2404
Phone: (228) 867-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 13th St, Gulfport, MS 39501-2569 — (228) 867-4000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 903259 (MS)

Record details

NPI number1306409040
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESJune 30, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Exceed Physical Therapy, Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Gulfport