Shellie J Moffett, NP - Medicare Nurse Practitioner in Amory, MS

Shellie J Moffett, NP is a medicare enrolled "Nurse Practitioner - Family" in Amory, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Boa Vida Hospital Of Aberdeen Ms Llc and her current practice location is 1105 Earl Frye Blvd, Amory, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 256-7112.

Shellie J Moffett is licensed to practice in Mississippi (license number R855814) 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 1902116064.

Contact Information

Shellie J Moffett, NP
1105 Earl Frye Blvd,
Amory, MS 38821-5500
(662) 256-7112
(662) 256-7116

Map and Direction




Provider's Profile

Full NameShellie J Moffett
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1105 Earl Frye Blvd, Amory, 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:
  • Shellie J Moffett graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1902116064
  • Provider Enumeration Date: 10/07/2010
  • Last Update Date: 09/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810178704
  • Enrollment ID: I20110225000136

Medical Identifiers

Medical identifiers for Shellie J Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902116064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R855814 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boa Vida Hospital Of Aberdeen Ms Llc024450584043

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. Shellie J Moffett allows following entities to bill medicare on her behalf.
Entity NameKeystone Hospitalist Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932447968
PECOS PAC ID: 7517103864
Enrollment ID: O20130411000527
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460

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. Shellie J Moffett 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
Shellie J Moffett, NP
10996 Four Seasons Pl, Ste 100a,
Crown Point, IN 46307-8685

Ph: (662) 256-7112
Shellie J Moffett, NP
1105 Earl Frye Blvd,
Amory, MS 38821-5500

Ph: (662) 256-7112

Reviews and Comments


Nurse Practitioner Nurses in Amory, MS

Amy Bailey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821
Phone: 662-256-9331    Fax: 662-256-9335
Mrs. Katrina Watkins Frields, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1208 Guy Pickle Rd, Amory, MS 38821
Phone: 662-256-3120    Fax: 662-256-7092
Rita Ann Hargett, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821
Phone: 662-256-9331    Fax: 662-256-9335
Stacey Nix, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821
Phone: 662-256-9331    Fax: 662-256-9335
Mrs. Ashley Danielle Lann Spann, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1215 Earl Frye Blvd, Amory, MS 38821
Phone: 662-256-9344    
Elaina Ponder, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1506 U.s. 278 Suite A, Amory, MS 38821
Phone: 662-305-9149    
Teresa Stanford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Earl Frye Blvd, Amory, MS 38821
Phone: 662-256-9327    

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.