Shireisla Denae Kelly, NP - Nurse Practitioner in Pearl, MS

Shireisla Denae Kelly, NP is a Nurse Practitioner - Family based in Pearl, Mississippi. Shireisla Denae Kelly is licensed to practice in Mississippi (license number 908520) and her current practice location is 110 Cross Park Dr, Pearl, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 397-6731.

NPI number for Shireisla Denae Kelly is 1972439578 and her current mailing address is 855 Springfield Ct, Ridgeland, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972439578.

Contact Information

Shireisla Denae Kelly, NP
110 Cross Park Dr,
Pearl, MS 39208-9016
(601) 397-6731
Not Available

Map and Direction




Provider's Profile

Full NameShireisla Denae Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location110 Cross Park Dr, Pearl, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972439578
  • Provider Enumeration Date: 06/22/2026
  • Last Update Date: 06/22/2026

Medical Identifiers

Medical identifiers for Shireisla Denae Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972439578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 908520 (Mississippi)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. Shireisla Denae Kelly 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
Shireisla Denae Kelly, NP
855 Springfield Ct,
Ridgeland, MS 39157-1583

Ph: (601) 278-4933
Shireisla Denae Kelly, NP
110 Cross Park Dr,
Pearl, MS 39208-9016

Ph: (601) 397-6731

Reviews and Comments


Nurse Practitioner Nurses in Pearl, MS

Deidra Thompson, FNP
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Mr. Edward Scott Callihan, NP-C
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Phone: 769-223-3261    
Meredith Selman Sheffield, FNP-C
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Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208
Phone: 601-531-8020    
Tiffany Jackson, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208
Phone: 601-623-9245    Fax: 601-623-9246
Jade Alexandra Roberts,
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Medicare: Accepting Medicare Assignments
Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208
Phone: 601-345-2124    
Mrs. Kimberly Renee Blumenberg, WHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 3794 Highway 468 W, Pearl, MS 39208
Phone: 601-932-2880    

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.