SHIREISLA DENAE KELLY NP
NPI 1972439578
Nurse Practitioner - Family in Pearl, MS
About Shireisla Denae Kelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIREISLA DENAE KELLY NP (NPI 1972439578) is an individual family provider in Pearl, Mississippi, licensed in Mississippi (908520) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shireisla Denae Kelly 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shireisla Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 45 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 55 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 39208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEARL, MS 39208
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 Shireisla Kelly's NPI number?
The NPI number for Shireisla Kelly is 1972439578. It was assigned to this individual provider in the NPPES registry on June 22, 2026.
Where is Shireisla Kelly located?
Shireisla Kelly practices at 110 Cross Park Dr, Pearl, MS 39208. The listed phone number is (601) 397-6731.
What is Shireisla Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shireisla Kelly enrolled in Medicare?
Yes. Shireisla Kelly 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.
Which organizations bill Medicare for Shireisla Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shireisla Kelly reassigns Medicare benefits to 2 organizations: Ch Mssp Services Ms LLC (Flowood, MS) and Curana Health Of Mississippi LLC (Flowood, MS). Each 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 Shireisla Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shireisla Kelly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shireisla Denae Kelly, NP · NPI 1972439578
Family physician in Pearl, Mississippi. Individual provider, active in the CMS NPPES registry since June 22, 2026.
## Identity
- **NPI:** 1972439578 (Entity type: Individual)
- **Enumerated:** June 22, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 908520 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 CROSS PARK DR, Pearl, MS 39208-9016
- **Phone:** (601) 397-6731
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ch Mssp Services Ms LLC (NPI 1194565051, Flowood, MS); Curana Health Of Mississippi LLC (NPI 1013395615, Flowood, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972439578) · Data from the CMS NPPES public registry.