MRS. SHERITA DANIELLE WALLACE NP
NPI 1225502412
Nurse Practitioner - Psychiatric/Mental Health in Meridian, MS
About Mrs. Sherita Danielle Wallace Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHERITA DANIELLE WALLACE NP (NPI 1225502412) is an individual psychiatric/mental health provider in Meridian, Mississippi, licensed in Mississippi (902938) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lincoln, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
Mrs. Sherita Danielle Wallace Np 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 Reassignments
5Medicare enrollment records show Sherita Wallace reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Meridian, MS 39305
- Reassigned Medicare billing, Mississippi enrollment
- 18 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Alabama, Mississippi and Tennessee enrollments
- 140 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Florence, AL 35630
- Reassigned Medicare billing, Alabama and Tennessee enrollments
- Also billed through NPI 1134452865 (Tennessee)
- 179 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
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 39301 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sherita Wallace's NPI number?
The NPI number for Sherita Wallace is 1225502412. It was assigned to this individual provider in the NPPES registry on January 22, 2019. The provider is also known as Ms. Sherita Danielle Boyd Np.
Where is Sherita Wallace located?
Sherita Wallace practices at 3514 Highway 39 N Ste A&b, Meridian, MS 39301. The listed phone number is (601) 512-1310.
What is Sherita Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sherita Wallace enrolled in Medicare?
Yes. Sherita Wallace 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 organizations bill Medicare for Sherita Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sherita Wallace reassigns Medicare benefits to 5 organizations: Positive Innergy Counseling Services, LLC (Meridian, MS), The Chadwick Clinic LLC (Tupelo, MS), Upperline Healthcare, PC (Hoover, AL), Fast Pace Mississippi, PLLC (Ripley, MS) and Fast Pace Medical Clinic PLLC (Florence, AL). Each 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 Sherita Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sherita Wallace accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Sherita Wallace 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 Sherita Wallace was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mrs. Sherita Danielle Wallace, NP · NPI 1225502412
Psychiatric/Mental Health physician in Meridian, Mississippi. Individual provider, active in the CMS NPPES registry since January 22, 2019.
## Identity
- **NPI:** 1225502412 (Entity type: Individual)
- **Enumerated:** January 22, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 902938 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3514 HIGHWAY 39 N STE A&B, Meridian, MS 39301-1305
- **Phone:** (601) 512-1310 · **Fax:** (833) 984-3427
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Positive Innergy Counseling Services, LLC (NPI 1003432626, Meridian, MS); The Chadwick Clinic LLC (NPI 1801538186, Tupelo, MS); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS); Fast Pace Medical Clinic PLLC (NPI 1639679962, Florence, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 29, 2025
- **Other identifiers:** Medicaid 00786527 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1225502412) · Data from the CMS NPPES public registry.