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MRS. SHERITA DANIELLE WALLACE NP
NPI 1225502412
Nurse Practitioner - Psychiatric/Mental Health in Meridian, MS

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment
3514 HIGHWAY 39 N STE A&B, MERIDIAN, MS 39301(601) 512-1310(833) 984-3427 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Sep 17, 2019, Jan 22, 2019 (3 updates tracked since 2019).

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 and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225502412
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHERITA DANIELLE WALLACECredential: NP
Location Address3514 HIGHWAY 39 N STE A&BMeridian, MS 39301-1305
Mailing Address3514 Highway 39 N Ste A&bMeridian, MS 39301-1305 · (601) 512-1310 · Fax (833) 984-3427
Phone(601) 512-1310
Fax(833) 984-3427
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1225502412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MS · 902938✔ Licensed in TN · 37389✔ Licensed in AL · 3-002311
3514 HIGHWAY 39 N STE A&B, Meridian, MS 39301
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Sherita Danielle Boyd Np

Other Identifiers 1

Medicaid00786527MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6103168083
PECOS Enrollment IDI20190424001787, I20250620003373
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services11 patients

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TABITHA HARPER FNP
Nurse Practitioner (Family)
3514 HIGHWAY 39 N STE A&B
MERIDIAN, MS 39301
Lauderdale County (601) 512-1310

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.

What insurance does Sherita Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 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 12 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.