Shelley S Leach, FNP - Medicare Nurse Practitioner in New Hebron, MS

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Shelley S Leach, FNP is a medicare enrolled "Nurse Practitioner - Family" in New Hebron, Mississippi. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice 121 Medical Place Inc and her current practice location is 202 Jefferson Street, New Hebron, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 694-2116.

Shelley S Leach is licensed to practice in Mississippi (license number R863242) 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 1760615595.

Contact Information

Shelley S Leach, FNP
202 Jefferson Street,
New Hebron, MS 39140
(601) 694-2116
(601) 694-2119

Map and Direction




Provider's Profile

Full NameShelley S Leach
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location202 Jefferson Street, New Hebron, 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:
  • Shelley S Leach graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1760615595
  • Provider Enumeration Date: 08/27/2009
  • Last Update Date: 09/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557670940
  • Enrollment ID: I20151026002702

Medical Identifiers

Medical identifiers for Shelley S Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760615595NPI-NPPES
00476391MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R863242 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At Home -flowoodFlowood, MSHome health agency
Sta Home Health And HospiceClinton, MSHome health agency
Simpson General Hospital CahMendenhall, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
121 Medical Place Inc96384549862

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. Shelley S Leach allows following entities to bill medicare on her behalf.
Entity NameSimpson Community Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144339839
PECOS PAC ID: 5991709750
Enrollment ID: O20080630000299
Entity Name121 Medical Place Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588106553
PECOS PAC ID: 9638454986
Enrollment ID: O20170328002615

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. Shelley S Leach 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
Shelley S Leach, FNP
1842 Simpson Highway 149,
Mendenhall, MS 39114-3438

Ph: (601) 847-7130		Shelley S Leach, FNP
202 Jefferson Street,
New Hebron, MS 39140

Ph: (601) 694-2116

Reviews and Comments


Nurse Practitioner Nurses in New Hebron, MS

Bethel C Foster, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 202 Jefferson Street, New Hebron, MS 39140
Phone: 601-694-2116    Fax: 601-694-2119

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.