Stacey Nicole Elkins
Individual provider Active NPI Family Nurse Practitioner · Kilmichael, MS
NPI 1285519637 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1285519637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 907527 (MS)
- Practice address
- 301 Lamar St
Kilmichael, MS 39747-9002 - Phone
- (662) 262-5577
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Webster Health Services Inc
Practice addresses (Care Compare)
301 Lamar St
Kilmichael, MS 39747-9002
Phone (662) 262-5577
Hospital & facility affiliations
- Webster General Hospital/ Swing Bed
- Tyler Holmes Memorial Hospital Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251103000935 | MS | Practitioner - Nurse Practitioner | 7012406671 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907527 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Health Services, Inc. | Single Specialty | Current | Accepting new patients |
| Webster Health Services, Inc. | Current |
Accepting new patients | |
| Webster Health Services, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| North Mississippi Medical Clinics Inc | Single Specialty | Current | Accepting new patients |
| North Mississippi Medical Clinics Inc | Single Specialty | Current |
Accepting new patients |
| Webster Health Services, Inc. | Past | Accepting new patients |
Locations
70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221
301 Lamar St
Kilmichael, MS 39747
Phone (601) 262-4311
49 Turner St
Maben, MS 39750
Phone (662) 263-5900
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 907527 | MS | Yes |
Addresses
Primary practice location
301 Lamar St
Kilmichael, MS 39747-9002
Mailing address
1183 Cumberland Rd
Maben, MS 39750-6633
Phone (662) 418-7432
Other providers in Kilmichael, MS
- Cherryl M Avent
- Carwile Rehab & Wellness LLC
- Freds Stores of Tennessee Inc.
- Mackie P Greenlee
- Greenwood Leflore Hospital
- Wade Henson
- Kilmichael Clinic
All providers in Kilmichael, 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 Jan 29, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.