Mrs Sherita Danielle Wallace, NP - Medicare Nurse Practitioner in Meridian, MS

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Mrs Sherita Danielle Wallace, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Meridian, Mississippi. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc, Fast Pace Medical Clinic Pllc, Fast Pace Mississippi Pllc and her current practice location is 3514 Highway 39 N Ste A&b, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 512-1310.

Mrs Sherita Danielle Wallace is licensed to practice in Mississippi (license number 902938) 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 1225502412.

Contact Information

Mrs Sherita Danielle Wallace, NP
3514 Highway 39 N Ste A&b,
Meridian, MS 39301-1305
(601) 512-1310
(833) 984-3427

Map and Direction




Provider's Profile

Full NameMrs Sherita Danielle Wallace
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3514 Highway 39 N Ste A&b, Meridian, 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:
  • Mrs Sherita Danielle Wallace graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1225502412
  • Provider Enumeration Date: 01/22/2019
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103168083
  • Enrollment ID: I20190424001787

Medical Identifiers

Medical identifiers for Mrs Sherita Danielle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225502412NPI-NPPES
00786527MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 37389 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3-002311 (Alabama)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 902938 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Mississippi Pllc3678832029192
Fast Pace Medical Clinic Pllc5395881841737
Fast Pace Mississippi Pllc3678832029192

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 Sherita Danielle Wallace allows following entities to bill medicare on her behalf.
Entity NameFast Pace Mississippi PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameThe Chadwick Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801538186
PECOS PAC ID: 5092198028
Enrollment ID: O20220823004048
Entity NamePositive Innergy Counseling Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003432626
PECOS PAC ID: 6204298367
Enrollment ID: O20230823003145
Entity NameUpperline Healthcare PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538686498
PECOS PAC ID: 4385900653
Enrollment ID: O20250515002154

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 Sherita Danielle Wallace 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
Mrs Sherita Danielle Wallace, NP
3514 Highway 39 N Ste A&b,
Meridian, MS 39301-1305

Ph: (601) 512-1310		Mrs Sherita Danielle Wallace, NP
3514 Highway 39 N Ste A&b,
Meridian, MS 39301-1305

Ph: (601) 512-1310

Reviews and Comments


Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson,
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Phone: 601-484-6700    
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Mrs. Celeste M Watson, FNP-BC
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Medicare: Not Enrolled in Medicare
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Phone: 601-282-5429    
Mrs. Karen Faye Deese, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1523 22nd Ave Ste B, Meridian, MS 39301
Phone: 601-703-8450    Fax: 601-553-6308
Jada Clair Odom, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5002 Highway 39 N, Meridian, MS 39301
Phone: 601-385-9111    

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).

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