Nekesha Micole Johnson, FNP-BC - Medicare Nurse Practitioner in Grenada, MS

Nekesha Micole Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc and her current practice location is 960 J K Avent Drive, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 227-7375.

Nekesha Micole Johnson is licensed to practice in Mississippi (license number 905012) 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 1710648050.

Contact Information

Nekesha Micole Johnson, FNP-BC
960 J K Avent Drive,
Grenada, MS 38901
(662) 227-7375
Not Available

Map and Direction




Provider's Profile

Full NameNekesha Micole Johnson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location960 J K Avent Drive, Grenada, 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:
  • Nekesha Micole Johnson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1710648050
  • Provider Enumeration Date: 01/08/2022
  • Last Update Date: 01/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618362278
  • Enrollment ID: I20220317000023

Medical Identifiers

Medical identifiers for Nekesha Micole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710648050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 905012 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Mississippi Pllc3678832029142

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. Nekesha Micole Johnson allows following entities to bill medicare on her behalf.
Entity NameTallahatchie General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841620846
PECOS PAC ID: 1850293036
Enrollment ID: O20140422001853
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291

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. Nekesha Micole Johnson 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
Nekesha Micole Johnson, FNP-BC
1100 College St,
Columbus, MS 39701-5821

Ph: () -
Nekesha Micole Johnson, FNP-BC
960 J K Avent Drive,
Grenada, MS 38901

Ph: (662) 227-7375

Reviews and Comments


Nurse Practitioner Nurses in Grenada, MS

Kelsey Marter Faulkner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 965 Avent Dr, Grenada, MS 38901
Phone: 601-815-2005    
Mrs. Agnes Pamela Upchurch, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901
Phone: 662-229-0669    Fax: 662-227-9929
Mrs. Ashley Nicole Woods, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 140 Broadfield Dr, Grenada, MS 38901
Phone: 662-809-2419    
Latia Monanette Butts, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901
Phone: 662-349-2442    Fax: 662-349-8551
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Grandview Dr, Grenada, MS 38901
Phone: 662-227-3700    Fax: 662-227-3740
Alison Campbell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901
Phone: 662-226-0110    
Ralph T Cain, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901
Phone: 662-294-9101    Fax: 662-294-9104

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.