Individual provider Active NPI

Shelby Lynne Bell, NP

  • Pediatric Nurse Practitioner
  • Carthage, MS
National Provider Identifier
1538760897
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
904246 Issued in MS
Practice address
1100 Highway 16 E
Carthage, MS 39051-4222
Phone
(601) 267-1470
Fax
(601) 267-1469
NPI assigned
Nov 3, 2020
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 904246 MS Primary

Addresses

Primary practice location

1100 Highway 16 E
Carthage, MS 39051-4222

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 227-8693

Other practice location 1

101 Lexington Dr Ste A
Madison, MS 39110-6986
Phone (601) 707-3771

Other practice location 2

110 Park St
Walnut Grove, MS 39189-6526
Phone (601) 253-0173

Other names 1

  • Shelby Lynne Alderman Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210630000158 MS Practitioner - Nurse Practitioner 8426459330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904246MSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Center-Leake, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Gluckstadt TC Kids, LLC CurrentSince Mar 13, 2021 Accepting new patients
Baptist Medical Center-Leake, Inc CurrentSince Jan 7, 2024 Accepting new patients
BMC - Attala, LLC PastSince Apr 14, 2024 Accepting new patients
Trustcare Kids, LLC Past Accepting new patients
Trustcare Health, LLC Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Baptist Medical Center-Leake, Inc PastSince Jan 7, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. PastSince Apr 14, 2024 Accepting new patients

Locations

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1107 Highland Colony Pkwy
Ste 219
Ridgeland, MS 39157
Phone (601) 499-0651

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • Direct secure messaging: shelby.johnston.1@19538.direct.athenahealth.com
  • Direct secure messaging: sjohnston174806@direct.bmhcc.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1538760897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514222",
            "telephone_number": "601-267-1470",
            "fax_number": "601-267-1469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Lexington Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106986",
            "country_code": "US",
            "telephone_number": "601-707-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park St",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896526",
            "country_code": "US",
            "telephone_number": "601-253-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "SHELBY",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "904246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ALDERMAN",
            "middle_name": "LYNNE",
            "credential": "JOHNSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.