Kelsa Shirley, FNP - Medicare Nurse Practitioner in Laurel, MS

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Kelsa Shirley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Laurel, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jones Family Medicine Clinic Pllc and her current practice location is 30 Circle J Dr Ste 1, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 425-0092.

Kelsa Shirley is licensed to practice in Mississippi (license number 901625) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689027492.

Contact Information

Kelsa Shirley, FNP
30 Circle J Dr Ste 1,
Laurel, MS 39440-1981
(601) 425-0092
(601) 425-0473

Map and Direction




Provider's Profile

Full NameKelsa Shirley
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location30 Circle J Dr Ste 1, Laurel, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsa Shirley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1689027492
  • Provider Enumeration Date: 07/16/2016
  • Last Update Date: 10/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729368345
  • Enrollment ID: I20161216000710

Medical Identifiers

Medical identifiers for Kelsa Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689027492NPI-NPPES
901625OtherMSMS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901625 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jones Family Medicine Clinic Pllc64068803689

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsa Shirley allows following entities to bill medicare on her behalf.
Entity NameIndependent Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20031215000487
Entity NameFamily Health Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043236326
PECOS PAC ID: 5395656946
Enrollment ID: O20040831001179
Entity NameJones Family Medicine Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841385168
PECOS PAC ID: 6406880368
Enrollment ID: O20050921000315
Entity NameSt Michael Urgent Care Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396015087
PECOS PAC ID: 1153583091
Enrollment ID: O20120510000221

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsa Shirley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsa Shirley, FNP
30 Circle J Dr Ste 1,
Laurel, MS 39440-1981

Ph: (601) 425-0092		Kelsa Shirley, FNP
30 Circle J Dr Ste 1,
Laurel, MS 39440-1981

Ph: (601) 425-0092

Reviews and Comments


Nurse Practitioner Nurses in Laurel, MS

Kayla Marie Cooley, FNP-C
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Practice Location: 1710 W 12th St, Laurel, MS 39440
Phone: 601-369-2028    
Cynthia Lynn Bean,
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Practice Location: 1203 Jefferson St, Laurel, MS 39440
Phone: 601-649-2863    
Illisia Marie Johnston, NP-C
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Practice Location: 1008 N 15th Ave, Laurel, MS 39440
Phone: 601-426-5125    
Cynthia Dianne Arnold-spruill, NP
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Medicare: Medicare Enrolled
Practice Location: 424 S 13th Ave, Laurel, MS 39440
Phone: 601-649-5990    Fax: 601-425-7510
Mrs. Elisa Rene Hillman, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 117 S 11th Ave, Laurel, MS 39440
Phone: 601-425-3033    Fax: 601-422-0431
Tiffany Lauren Hilbun, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 319 S 13th Ave, Laurel, MS 39440
Phone: 601-426-2140    Fax: 601-340-3220
Mrs. Jessica Watson Lott, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 404 S 13th Ave, Laurel, MS 39440
Phone: 601-425-5544    Fax: 601-425-5525

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.