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SHELBY H JACKSON
NPI 1841822152
Nurse Practitioner - Family in Grenada, MS

Active since February 05, 2020PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
960 AVENT DR, GRENADA, MS 38901(662) 227-7000 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Oct 29, 2020, Feb 5, 2020 (3 updates tracked since 2020).

About Shelby H Jackson NPPES

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

SHELBY H JACKSON (NPI 1841822152) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (903610) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841822152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY H JACKSON
Location Address960 AVENT DRGrenada, MS 38901-5230
Mailing Address504 Clinton Center Drive, Cbo-suite 4300Jackson, MS 39056 · (601) 496-9794 · Fax (601) 815-0434
Phone(662) 227-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 5, 2020
Last NPPES UpdateMarch 5, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1841822152 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 · 903610
960 AVENT DR, Grenada, MS 38901
Open in Google Maps ↗

Other Names 1

Professional Name (2)Shelby Helen Phelon-jackson Fnp

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

Shelby H Jackson 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 ID4688095565
PECOS Enrollment IDI20200601002437
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 5

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
222 services159 patients
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.
217 services160 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.
58 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38901 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

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.

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Medicare Defined Swing Bed Unit
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
DR. SARAH KATHERINE GANTZ PANNEL D.O
Psychiatry & Neurology (Psychiatry)
960 AVENT DR, UMC GRENADA SENIOR CARE UNIT
GRENADA, MS 38901
Grenada County (662) 227-7222
DR. TARENCE E WADE MD
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7172
GRENADA LAKE MEDICAL CENTER
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Psychiatric Hospital
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
ANDREA JEMAE COLLINS M.D.
Hospitalist
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7008
ROBERT KEITH DUBARD CRNA
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
GRENADA LAKE MEDICAL CENTER
Home Health
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000

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 Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1841822152. It was assigned to this individual provider in the NPPES registry on February 5, 2020. The provider is also known as Shelby Helen Phelon-Jackson Fnp.

Where is Shelby Jackson located?

Shelby Jackson practices at 960 Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is Shelby Jackson's specialty?

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

Is Shelby Jackson enrolled in Medicare?

Yes. Shelby Jackson 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 Shelby Jackson 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 list Shelby Jackson 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 Shelby Jackson affiliated with any hospitals?

According to CMS data, Shelby Jackson is affiliated with University Of Mississippi Medical Center- Grenada.

When was this NPI record last updated?

The NPPES record for Shelby Jackson was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.