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

Roxane Theresa Moncure, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1396202396

Roxane Theresa Moncure, AGNP is a Nurse Practitioner in Vicksburg, Mississippi. Qualified in 2013, 13 years ago. Practices with Mdb Behavioral Health Services LLC, a 197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2019
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Phone: (601) 456-2598
Fax: (855) 830-3484
Show map & directions

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

Additional practice locations (1)

  • 919 Rutherford Dr, Jackson, MS 39206-2033 — (601) 259-6426

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG01190040 (MS)

Record details

NPI number1396202396
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedFebruary 26, 2019
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mdb Behavioral Health Services Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare