Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-
Family Nurse Practitioner · Vicksburg, MS
Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- is a family nurse practitioner with a practice address in Vicksburg, Mississippi, and NPI 1144831140, issued on Aug 12, 2020. Check the license (Mississippi 904068, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Manivanh A. Prudhomme
- Credential
- MSN, FNP-BC, AGACNP-
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 904068 MS
Self-reported in NPPES; status is on the state search - Practice location
- 2011 Highway 61 N, Vicksburg, MS 39183
- Phone
- (014) 562-2776
- Enumerated
- Aug 12, 2020
- Record last updated
- Jul 13, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (601) 456-2622
- Medicare enrollment
- Enrolled (PECOS I20201008002132); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 3,798 in Mississippi → Look up another NPI →
Also registered at 2011 Highway 61 N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jon Bantugan, ODOptometrist1346169299
- Hilary Parrish, O.D.Optometrist1811242357
Verify Manivanh A. Prudhomme in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 904068Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26% fewer Medicare Part D claims than the average family nurse practitioner in 2024
962 Medicare Part D claims for 313 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.
Most prescribed
- Azithromycin82 claims
- Diclofenac Sodium45 claims
- Cefdinir32 claims
- Doxycycline Hyclate29 claims
- Amlodipine Besylate26 claims
- Omeprazole25 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 88.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $123.15
1 payment: food and beverage; the largest payer was GlaxoSmithKline, LLC. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Quad Intermed Company LLCVicksburg, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Manivanh A. Prudhomme among 3,798 family nurse practitioner records in Mississippi
Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- is one of 3,798 family nurse practitioner records with a practice address in Mississippi. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 68% of them.
- NPI issued2020 · 68% of these records are older, 26% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2020 · median 2017 among the 2,576 with a school on file
- Record last updated2021 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
41 family nurse practitioner records list a practice address in Vicksburg
They are 41 of the 708 NPPES records with a practice address in Vicksburg, and 3,798 family nurse practitioner records in Mississippi.
All 3,798 in Mississippi → Every provider in Vicksburg → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Erin Bennett, NP-CVicksburg, MS 391831144547555
- Gwendolyn Corrothers Royal, FNP-CVicksburg, MS 391831174298293
- Tawana Greene, RN, MSN, FNP-BCVicksburg, MS 391831871143347
- Elizabeth Hill, FNP-CVicksburg, MS 391831326434564
- Youlanda Jones, FNP-CVicksburg, MS 391831407508294
- Rhonda Kemp, FNPVicksburg, MS 391831487683520
- Edith Lambert, NP-CVicksburg, MS 391831861758898
- Khelli Lockridge, DNP, FNP-CVicksburg, MS 391831962073080
Common questions
What is Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-'s NPI number?
Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-'s National Provider Identifier (NPI) is 1144831140, issued on Aug 12, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- located?
The NPPES record lists a practice address at 2011 Highway 61 N, Vicksburg, MS, 39183. Phone: (014) 562-2776. Providers update this record themselves, so call before visiting.
How can I verify Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-'s license?
NPPES lists Mississippi license number 904068, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
How much does Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- prescribe under Medicare Part D?
In 2024, Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- had 962 Medicare Part D claims for 313 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.
What is Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-'s MIPS final score?
The 2023 MIPS final score is 88.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.