Shaquita Sampson, - Medicare Nurse Practitioner in Jackson, MS

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Shaquita Sampson, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 1134 Winter St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 948-5572.

Shaquita Sampson is licensed to practice in Mississippi (license number RN884677) 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 1376948075.

Contact Information

Shaquita Sampson,
1134 Winter St,
Jackson, MS 39204-2841
(601) 948-5572
Not Available

Map and Direction




Provider's Profile

Full NameShaquita Sampson
GenderFemale
SpecialityNurse Practitioner - Family
Location1134 Winter St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376948075
  • Provider Enumeration Date: 10/24/2014
  • Last Update Date: 12/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022396936
  • Enrollment ID: I20161027002050

Medical Identifiers

Medical identifiers for Shaquita Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376948075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN884677 (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. Shaquita Sampson allows following entities to bill medicare on her behalf.
Entity NameCentral Mississippi Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730120502
PECOS PAC ID: 2961398029
Enrollment ID: O20040225000632
Entity NameIndira Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316128762
PECOS PAC ID: 2668543349
Enrollment ID: O20080624000559
Entity NameWound Management Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20191021000339
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556

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. Shaquita Sampson 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
Shaquita Sampson,
559 Heatherwood Dr,
Jackson, MS 39212-4707

Ph: (769) 262-7650		Shaquita Sampson,
1134 Winter St,
Jackson, MS 39204-2841

Ph: (601) 948-5572

Reviews and Comments


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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.