Shelly Y Jackson, RNC-FNP - Nurse Practitioner in Poplar Bluff, MO

Shelly Y Jackson, RNC-FNP is a Nurse Practitioner based in Poplar Bluff, Missouri. Shelly Y Jackson is licensed to practice in Missouri (license number 126637) and her current practice location is 3001 Warrior Ln Ste A, Poplar Bluff, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 778-7125.

NPI number for Shelly Y Jackson is 1063491405 and her current mailing address is 110 S 2nd St, Ellington, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063491405.

Contact Information

Shelly Y Jackson, RNC-FNP
3001 Warrior Ln Ste A,
Poplar Bluff, MO 63901-8685
(573) 778-7125
(573) 778-7126

Map and Direction




Provider's Profile

Full NameShelly Y Jackson
GenderFemale
SpecialityNurse Practitioner
Location3001 Warrior Ln Ste A, Poplar Bluff, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063491405
  • Provider Enumeration Date: 01/13/2006
  • Last Update Date: 10/14/2026

Medical Identifiers

Medical identifiers for Shelly Y Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063491405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 126637 (Missouri)Primary

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. Shelly Y Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly Y Jackson, RNC-FNP
110 S 2nd St,
Ellington, MO 63638-9400

Ph: (573) 663-2313
Shelly Y Jackson, RNC-FNP
3001 Warrior Ln Ste A,
Poplar Bluff, MO 63901-8685

Ph: (573) 778-7125

Reviews and Comments


Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-1277    Fax: 573-778-1299
Alicia Marie Cisne, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-776-2835    Fax: 573-776-2763
Wanda R Shewmon, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901
Phone: 573-686-4133    Fax: 573-686-1315
Ms. Jolene M Wolf, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4151    
Rebecca Compton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 102, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-413-4609
Edward Patrick Kreulen, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599

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.