SHELLY KIMBERLYN SARRETT CPNP-AC
NPI 1386392298
Nurse Practitioner - Pediatrics in Jackson, MS

Q: What is Shelly Sarrett's NPI number?

The NPI number for Shelly Sarrett is 1386392298. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Shelly Sarrett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Sarrett was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 10, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(662) 532-1543(662) 532-1544 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2023, Mar 10, 2022 (2 updates tracked since 2022).

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About Shelly Kimberlyn Sarrett Cpnp-ac NPPES

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

SHELLY KIMBERLYN SARRETT CPNP-AC (NPI 1386392298) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (904278) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386392298

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHELLY KIMBERLYN SARRETTCredential: CPNP-AC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address504 Clinton Center Dr Ste 4300Clinton, MS 39056-5610 · (888) 815-2005 · Fax (601) 815-0434

Phone(662) 532-1543

Fax(662) 532-1544

Sole ProprietorNo

Enumeration DateMarch 10, 2022

Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1386392298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MS · 904278

2500 N STATE ST, Jackson, MS 39216

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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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Kimberlyn Sarrett Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelly Sarrett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center

Same address

General Acute Care Hospital

2500 N STATE ST
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
1,932 clinicians in this Medicare group

NPI 1154317527 (601) 984-1000

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 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 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)