Provider Profile
Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- is a nurse practitioner practicing in Vicksburg, MS. Manivanh is also listed as specializing in nurse practitioner — family. According to Medicare claims data, Manivanh cared for 981 Medicare patients across 1,771 services. The services billed most often include injection, ceftriaxone sodium, per 250 mg, injection, dexamethasone sodium phosphate, 1 mg, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1144831140.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
2011 HIGHWAY 61 N
Vicksburg, MS 39183
1,771 services · 981 patients · 20 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
59 | As often as other peers in Nurse Practitioner |
| X-ray of chest, 2 views | Imaging | 71046 |
29 | More often than most peers in Nurse Practitioner |
| Injection of drug or substance under skin or into muscle | Treatment | 96372 |
169 | More than most peers in Nurse Practitioner |
| Injection, ceftriaxone sodium, per 250 mg | Drug given | J0696 |
360 | More than most peers in Nurse Practitioner |
| Injection, dexamethasone sodium phosphate, 1 mg | Drug given | J1100 |
309 | More often than most peers in Nurse Practitioner |
| Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Drug given | J0702 |
55 | As often as other peers in Nurse Practitioner |
| Injection, ketorolac tromethamine, per 15 mg | Drug given | J1885 |
44 | As often as other peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
230 | More often than most peers in Nurse Practitioner |
| Detection test by immunoassay technique for influenza virus | Lab test | 87400 |
134 | More often than most peers in Nurse Practitioner |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | Lab test | 87426 |
87 | More than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Manivanh A. Prudhomme, MSN, FNP-BC is a nurse practitioner in Vicksburg, MS. That is the designation recorded for this NPI in the federal registry.
NPI registry
Manivanh A. Prudhomme, MSN, FNP-BC is listed at 2011 Highway 61 N, Vicksburg, MS 39183. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (014) 562-2776. Contact the office directly to confirm availability and scheduling.
NPI registry
Manivanh A. Prudhomme, MSN, FNP-BC's National Provider Identifier is 1144831140. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Manivanh A. Prudhomme, MSN, FNP-BC attended Other, graduating in 2020. This comes from the CMS National Downloadable File.
CMS public data
Manivanh A. Prudhomme, MSN, FNP-BC has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Manivanh A. Prudhomme, MSN, FNP-BC performs procedures including insertion of needle into vein for collection of blood sample; reads or performs imaging such as x-ray of chest, 2 views; provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Manivanh A. Prudhomme, MSN, FNP-BC. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.