ALICE SHACKELFORD FNP-C
NPI 1316653397
Nurse Practitioner - Family in Jackson, MS

Active since January 24, 2023PECOS EnrolledAccepts Medicare Assignment
971 LAKELAND DR STE 950, JACKSON, MS 39216(601) 362-6900(601) 362-6111 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alice Shackelford Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE SHACKELFORD FNP-C (NPI 1316653397) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (905551) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316653397
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICE SHACKELFORDCredential: FNP-C
Location Address971 LAKELAND DR STE 950Jackson, MS 39216-4608
Mailing AddressPo Box 296Benton, MS 39039-0296 · (769) 234-8311
Fax(601) 362-6111
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
NPI 1316653397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 905551
971 LAKELAND DR STE 950, Jackson, MS 39216

Accepted 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

Alice Shackelford Fnp-c 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 ID1557735586
PECOS Enrollment IDI20230314003162
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 21

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
14,000 services13 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
7,440 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,020 services54 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
2,250 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
714 services407 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
671 services393 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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 4

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

Registered Nurse (Registered Nurse First Assistant)
971 LAKELAND DR STE 950
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 950
JACKSON, MS 39216
Orthopaedic Surgery
971 LAKELAND DR STE 950
JACKSON, MS 39216
Nurse Practitioner
971 LAKELAND DR STE 950
JACKSON, MS 39216

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 Alice Shackelford's NPI number?

The NPI number for Alice Shackelford is 1316653397. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Alice Shackelford located?

Alice Shackelford practices at 971 Lakeland Dr Ste 950, Jackson, MS 39216. The listed phone number is (601) 362-6900.

What is Alice Shackelford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alice Shackelford enrolled in Medicare?

Yes. Alice Shackelford 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 Alice Shackelford accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Plan, Inc. list Alice Shackelford 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.

Is Alice Shackelford affiliated with any hospitals?

According to CMS data, Alice Shackelford is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Alice Shackelford was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.