Dustin Kelly, FNP-C - Medicare Nurse Practitioner in Grenada, MS

Dustin Kelly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. Her current practice location is 1117 Sunset Dr Ste 101, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 226-1168.

Dustin Kelly is licensed to practice in Mississippi (license number 906082) 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 1942987664.

Contact Information

Dustin Kelly, FNP-C
1117 Sunset Dr Ste 101,
Grenada, MS 38901-4080
(662) 226-1168
Not Available

Map and Direction




Provider's Profile

Full NameDustin Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location1117 Sunset Dr Ste 101, Grenada, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942987664
  • Provider Enumeration Date: 07/04/2023
  • Last Update Date: 07/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577919786
  • Enrollment ID: I20231024003709

Medical Identifiers

Medical identifiers for Dustin Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942987664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 899168 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 906082 (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. Dustin Kelly allows following entities to bill medicare on her behalf.
Entity NameJoseph F Roberts Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629269709
PECOS PAC ID: 7012942253
Enrollment ID: O20050927000989

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. Dustin Kelly 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
Dustin Kelly, FNP-C
2055 County Road 240,
Greenwood, MS 38930-6995

Ph: (662) 299-5796
Dustin Kelly, FNP-C
1117 Sunset Dr Ste 101,
Grenada, MS 38901-4080

Ph: (662) 226-1168

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
Courtney Bullard, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1966 F S Hill Dr, Grenada, MS 38901
Phone: 662-688-1519    
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    

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.