JEQUETTA SHUREKA ILION MCLAURIN FNP
NPI 1013698513
Nurse Practitioner - Family in Jackson, MS
About Jequetta Shureka Ilion Mclaurin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEQUETTA SHUREKA ILION MCLAURIN FNP (NPI 1013698513) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (906074) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jequetta Shureka Ilion Mclaurin Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jequetta Mclaurin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39213
JACKSON, MS 39213
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jequetta Mclaurin's NPI number?
The NPI number for Jequetta Mclaurin is 1013698513. It was assigned to this individual provider in the NPPES registry on July 27, 2023.
Where is Jequetta Mclaurin located?
Jequetta Mclaurin practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.
What is Jequetta Mclaurin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jequetta Mclaurin enrolled in Medicare?
Yes. Jequetta Mclaurin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jequetta Mclaurin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jequetta Mclaurin reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jequetta Mclaurin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jequetta Mclaurin accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Jequetta Mclaurin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jequetta Mclaurin was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jequetta Shureka Ilion Mclaurin, FNP · NPI 1013698513
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1013698513 (Entity type: Individual)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 906074 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3502 W NORTHSIDE DR, Jackson, MS 39213-4454
- **Phone:** (601) 362-5321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Mississippi Civic Improvement Association, Inc (NPI 1134151442, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013698513) · Data from the CMS NPPES public registry.