Shannon Michelle Fryery, NP in Oxford, MS - Medicare Nurse Practitioner

Shannon Michelle Fryery, NP is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Mississippi. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Mississippi Medical Center, Inc. and her current practice location is 2890 S Lamar Blvd, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 636-6062.

Shannon Michelle Fryery is licensed to practice in Mississippi (license number R853471) 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 1407895725.

Contact Information

	Shannon Michelle Fryery, NP
	2890 S Lamar Blvd, Oxford, MS 38655-5347
	(662) 636-6062
	(833) 974-0101

Map and Direction

Provider's Profile

Full Name	Shannon Michelle Fryery
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	2890 S Lamar Blvd, Oxford, Mississippi
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:

Shannon Michelle Fryery graduated from nursing school in 2001

NPI Data:

NPI Number: 1407895725
Provider Enumeration Date: 06/05/2006
Last Update Date: 06/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3476522004
Enrollment ID: I20040929001138

Medical Identifiers

Medical identifiers for Shannon Michelle Fryery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407895725	NPI	-	NPPES
04338295	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R853471 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Mississippi Medical Center, Inc.	9931010600	298

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. Shannon Michelle Fryery allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

Entity Name	North Mississippi Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

Entity Name	West Alabama Aids Outreach Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942043070 PECOS PAC ID: 7517212376 Enrollment ID: O20210204002053

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. Shannon Michelle Fryery 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
Shannon Michelle Fryery, NP 2890 S Lamar Blvd, Oxford, MS 38655-5347 Ph: (662) 636-6062	Shannon Michelle Fryery, NP 2890 S Lamar Blvd, Oxford, MS 38655-5347 Ph: (662) 636-6062

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285
Rhagen Nelson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Medical Park Dr, Oxford, MS 38655 Phone: 662-234-7601
Casey Tramel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2706 W Oxford Loop Ste 105, Oxford, MS 38655 Phone: 662-550-4250
Kimberly Anne Schweigart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Sisk Ave, Oxford, MS 38655 Phone: 662-638-1002

Shannon Michelle Fryery, NP - Medicare Nurse Practitioner in Oxford, MS