Individual provider Active NPI

Sharon Elaine Ezell, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1063799583
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15918 Issued in TN
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-6886
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15918 TN Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

350 W Woodrow Wilson Ave Ste 1600
Jackson, MS 39213-7627
Phone (601) 815-6886

Other identifiers 4

IdentifierTypeStateIssuer
1528749MedicaidTN
1063799583MedicaidMO
09013434MedicaidMS
212345758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200401003619 MS Practitioner - Nurse Practitioner 8729228580 Reassigns benefits to 4 organizations
I20200724000537 LA Practitioner - Nurse Practitioner 8729228580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 W Woodrow Wilson Dr
Cancer Institute
Jackson, MS 39213
Phone (601) 815-2005

Hospital & facility affiliations

  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15918TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 17, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Jul 18, 2023 Accepting new patients
Winston Medical Clinic LLC PastSince May 1, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

350 W Woodrow Wilson Ave
Ste 600
Jackson, MS 39213
Phone (601) 815-6700

350 W Woodrow Wilson Ave
Ste 1600
Jackson, MS 39213
Phone (601) 815-6869

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1063799583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 1600",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137627",
            "telephone_number": "601-815-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "SHARON",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528749",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063799583",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013434",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212345758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.