Mrs Shellia Anne Kornegay, APN in White Hall, AR

Mrs Shellia Anne Kornegay, APN is a medicare enrolled "Nurse Practitioner - Family" in White Hall, Arkansas. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Arkansas Emergency Physicians Llp and her current practice location is 1600 W Holland Ave Ste 202, White Hall, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 619-4451.

Mrs Shellia Anne Kornegay is licensed to practice in Arkansas (license number AO3247) 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 1124258553.

Contact Information

	Mrs Shellia Anne Kornegay, APN
	1600 W Holland Ave Ste 202, White Hall, AR 71602-9221
	(870) 619-4451
	(870) 247-7089

Map and Direction

Provider's Profile

Full Name	Mrs Shellia Anne Kornegay
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	1600 W Holland Ave Ste 202, White Hall, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shellia Anne Kornegay graduated from nursing school in 2008

NPI Data:

NPI Number: 1124258553
Provider Enumeration Date: 07/20/2009
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 1456492909
Enrollment ID: I20100106000761

Medical Identifiers

Medical identifiers for Mrs Shellia Anne Kornegay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124258553	NPI	-	NPPES
180128758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AO3247 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Arkansas Emergency Physicians Llp	6204146319	18

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. Mrs Shellia Anne Kornegay allows following entities to bill medicare on her behalf.

Entity Name	Southeast Arkansas Emergency Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647

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. Mrs Shellia Anne Kornegay 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 Address	Practice Location Address
Mrs Shellia Anne Kornegay, APN Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534	Mrs Shellia Anne Kornegay, APN 1600 W Holland Ave Ste 202, White Hall, AR 71602-9221 Ph: (870) 619-4451

Reviews and Comments

Nurse Practitioner Nurses in White Hall, AR

Brittany Stephens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7401 Dollarway Rd Ste 101, White Hall, AR 71602 Phone: 870-451-0017 Fax: 901-244-4639
Khyra Albright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602 Phone: 870-619-4451 Fax: 870-247-7089
Mr. Windell Lamont Johnson Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7500 Dollarway Rd Ste 301, White Hall, AR 71602 Phone: 512-201-6766
Raluca Tudoreanu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Frankie Ln, White Hall, AR 71602 Phone: 870-247-6105
Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, White Hall, AR 71602 Phone: 870-619-4451
Estee Sneed, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, Suite 202, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056

Mrs Shellia Anne Kornegay, APN - Medicare Nurse Practitioner in White Hall, AR