Nicole Victoria Shioli Baxter, NP - Medicare Nurse Practitioner in Long Beach, MS

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Nicole Victoria Shioli Baxter, NP is a medicare enrolled "Nurse Practitioner - Family" in Long Beach, Mississippi. Her current practice location is 110 E Railroad St, Long Beach, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 678-7036.

Nicole Victoria Shioli Baxter is licensed to practice in Mississippi (license number 906762) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053147579.

Contact Information

Nicole Victoria Shioli Baxter, NP
110 E Railroad St,
Long Beach, MS 39560-4625
(228) 678-7036
Not Available

Map and Direction




Provider's Profile

Full NameNicole Victoria Shioli Baxter
GenderFemale
SpecialityNurse Practitioner - Family
Location110 E Railroad St, Long Beach, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053147579
  • Provider Enumeration Date: 09/11/2024
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567993074
  • Enrollment ID: I20241008000671

Medical Identifiers

Medical identifiers for Nicole Victoria Shioli Baxter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053147579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 906762 (Mississippi)Primary

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. Nicole Victoria Shioli Baxter allows following entities to bill medicare on her behalf.
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. Nicole Victoria Shioli Baxter 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
Nicole Victoria Shioli Baxter, NP
548 W Beach Blvd Apt 129,
Long Beach, MS 39560-5965

Ph: (228) 678-7036		Nicole Victoria Shioli Baxter, NP
110 E Railroad St,
Long Beach, MS 39560-4625

Ph: (228) 678-7036

Reviews and Comments


Nurse Practitioner Nurses in Long Beach, MS

Ashley Nicole Perry, CFNP
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Medicare: Accepting Medicare Assignments
Practice Location: 5120 Beatline Rd, Long Beach, MS 39560
Phone: 228-868-4287    
Mrs. Shannon Kathryn Gilmer, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 4013 Beatline Rd Ste A, Long Beach, MS 39560
Phone: 228-200-0720    
Ms. Trenita Lashawn Moore, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Railroad St, Long Beach, MS 39560
Phone: 228-864-0622    Fax: 228-864-7958
Miss Gerri Mack, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 110 E Railroad St, Long Beach, MS 39560
Phone: 228-678-7036    Fax: 228-678-7038
Mrs. Stephanie Ladner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 111 N Cleveland Ave, Long Beach, MS 39560
Phone: 228-220-5200    
Michael Rehor, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 706 Dogwood Dr, Long Beach, MS 39560
Phone: 228-424-7906    

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.