SHANNON L BALLARD NP
NPI 1275836991
Nurse Practitioner in Tupelo, MS
About Shannon L Ballard Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON L BALLARD NP (NPI 1275836991) is an individual nurse practitioner in Tupelo, Mississippi, licensed in Mississippi (R870654) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 (PECOS)
Shannon L Ballard Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Ballard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1285164046 (Mississippi)
- 168 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TUPELO, MS 38801
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 Shannon Ballard's NPI number?
The NPI number for Shannon Ballard is 1275836991. It was assigned to this individual provider in the NPPES registry on December 20, 2010. The provider is also known as Shannon Mobley.
Where is Shannon Ballard located?
Shannon Ballard practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (800) 893-9698.
What is Shannon Ballard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shannon Ballard enrolled in Medicare?
Yes. Shannon Ballard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Ballard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ballard reassigns Medicare benefits to Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, 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 Shannon Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Ballard 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 Shannon Ballard 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 Shannon Ballard was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shannon L Ballard, NP · NPI 1275836991
Nurse Practitioner physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since December 20, 2010.
## Identity
- **NPI:** 1275836991 (Entity type: Individual)
- **Enumerated:** December 20, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R870654 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4934
- **Phone:** (800) 893-9698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1275836991) · Data from the CMS NPPES public registry.