Selena Wilkerson Peeples, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903716 Issued in MS

Practice address

1513 E Union St
Greenville, MS 38703-3249

Phone

(662) 335-0183

Fax

(662) 335-7184

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, AR2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

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.

• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  AR, MS

  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465
  Care Compare group

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

• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health-The Medical Center

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887
  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1609598242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5368",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045368",
            "telephone_number": "662-335-0183",
            "fax_number": "662-335-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033249",
            "telephone_number": "662-335-0183",
            "fax_number": "662-335-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 E Sunflower Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322836",
            "country_code": "US",
            "telephone_number": "662-846-6034",
            "fax_number": "662-394-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "SELENA",
        "middle_name": "WILKERSON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hernando C Payne, MD
• Shonda Denise Pearl-Winters, FNP-C
• Pec Referral Service Inc.
• Debra Peden, CRNFA
• Pediatric Dental Specialists
• Personel Elder Care
• Brittany Fannie Phelps-Jones
• Ashanti Selece Phillips, RN
• Cleveland Woodrow Phinisee Jr.
• Christopher B Pieroni, R. PH.

• Family Nurse Practitioner in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.