Shawna Renee Middleton, FNP-C - Medicare Nurse Practitioner in Gulfport, MS

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Shawna Renee Middleton, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. Her current practice location is 15476 Dedeaux Rd Ste B, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 230-2663.

Shawna Renee Middleton is licensed to practice in Mississippi (license number 903074) 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 1104104090.

Contact Information

Shawna Renee Middleton, FNP-C
15476 Dedeaux Rd Ste B,
Gulfport, MS 39503-2637
(228) 230-2663
(228) 546-3257

Map and Direction




Provider's Profile

Full NameShawna Renee Middleton
GenderFemale
SpecialityNurse Practitioner - Family
Location15476 Dedeaux Rd Ste B, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104104090
  • Provider Enumeration Date: 07/27/2011
  • Last Update Date: 11/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911177282
  • Enrollment ID: I20140403001343

Medical Identifiers

Medical identifiers for Shawna Renee Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104104090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2014001226 (Missouri)Secondary
363LF0000XNurse Practitioner - Family A03569 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family 903074 (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. Shawna Renee Middleton allows following entities to bill medicare on her behalf.
Entity NameSouth Central Missouri Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164669172
PECOS PAC ID: 1355513581
Enrollment ID: O20111013000097

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. Shawna Renee Middleton 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
Shawna Renee Middleton, FNP-C
6300 E Lake Blvd Ste 301,
Vancleave, MS 39565-6771

Ph: (228) 230-2663		Shawna Renee Middleton, FNP-C
15476 Dedeaux Rd Ste B,
Gulfport, MS 39503-2637

Ph: (228) 230-2663

Reviews and Comments


Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman,
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Practice Location: 15200 Community Rd, Gulfport, MS 39503
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Heather Lyn Jeffrey,
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Phone: 228-896-4417    Fax: 228-604-0121
Ashley Barq House, FNP-C
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Mrs. Carla Ann Rushing, AGACNP
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Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Mrs. Michelle Wright Taylor, ACNP
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Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503
Phone: 228-539-3356    

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.