Shonve Ball, FNP
Individual provider Active NPI Family Nurse Practitioner · Batesville, MS
NPI 1104200682 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1104200682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R856364 (MS)
- Practice address
- 154 Woodland Rd
Batesville, MS 38606-7300 - Phone
- (731) 394-1145
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151105000357 | MS | Practitioner - Nurse Practitioner | 7113237025 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R856364 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen, Ms LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R856364 | MS | Yes |
Addresses
Primary practice location
154 Woodland Rd
Batesville, MS 38606-7300
Mailing address
36 Pemberton CV
Jackson, TN 38305-5514
Phone (731) 394-1145
Other providers in Batesville, MS
- Associated Nursing, Inc
- Christy Isbell Austin
- Britni Barnett Avant
- Jodi G Bailey
- David Alford Ball
- Baptist Memorial Home Care Inc
- Baptist Memorial Home Care Inc
- Baptist Memorial Hospital North Mississippi, Inc
- Baptist Memorial Hospital North Mississippi, Inc
- Gwenette Barron
All providers in Batesville, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.