Jessica Nicole Wallace Shelton, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

901492 Issued in MS

Practice address

910 Mary Vance Dr
Tupelo, MS 38801-6226

Phone

(662) 767-4200

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Orthopedic Group of Mississippi PLLCGroup PAC ID 3577878883, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1639553506
  Medicare reassignment Care Compare group NPD
• Pain Management Center of North

  dba Pain Management Center of N MS PLLC

  • Pain Clinic/Center
  • Tupelo, MS
  • NPI 1811928724
  NPD
• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Batesville, MS
  • NPI 1063162469
  NPD
• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Senatobia, MS
  • NPI 1801491352
  NPD
• Panola Physician Group, LLC

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1528528874
  NPD (past)

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

• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1316391055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-767-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MARY VANCE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016226",
            "telephone_number": "662-767-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE SHELTON",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "901492",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakia Walker
• Stephanie Quinn Walker, PTA
• Tamia Walker
• Carley Cole Wall, DMD
• James Ryan Wall, DPT
• Melanie Wallace, M.D.
• Makayla Walls
• Marsha L. Walls, MA
• Billy Walton, DO
• Debra Ann Ward

• Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.