Individual provider Active NPI

Brenda Shelton, FNP

  • Family Nurse Practitioner
  • Ripley, MS
National Provider Identifier
1659445492
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R649295 Issued in MS
Practice address
1009 City Ave N
Ripley, MS 38663-1414
Phone
(662) 837-2245
Fax
(662) 837-2246
NPI assigned
Nov 20, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R649295 MS Primary

Addresses

Primary practice location

1009 City Ave N
Ripley, MS 38663-1414

Mailing address

PO Box 499
Ripley, MS 38663-0499
Phone (662) 837-2245

Other practice location 1

1005A City Ave N
Ripley, MS 38663-1414
Phone (662) 837-2202

Other identifiers 1

IdentifierTypeStateIssuer
04471830MedicaidMS

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
I20101208000741 MS Practitioner - Nurse Practitioner 6103735022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tippah County HospitalGroup PAC ID 5193746709, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

1005 -A City Ave N
Ripley, MS 38663-1414
Phone (662) 837-9221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R649295MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince Sep 1, 2022 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2022 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2022 Accepting new patients
Tippah County Hospital Current Accepting new patients
Tippah County Hospital CurrentSince Jul 21, 2026 Accepting new patients
Tippah County Hospital Past Accepting new patients

Locations

1009 City Ave N
Ripley, MS 38663
Phone (662) 539-7444

1005 City Ave N
#B
Ripley, MS 38663
Phone (662) 837-2261

1009 City Ave N
#A
Ripley, MS 38663
Phone (601) 837-1404

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1659445492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630499",
            "telephone_number": "662-837-2245",
            "fax_number": "662-837-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-2245",
            "fax_number": "662-837-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005A City Ave N",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "MS",
            "postal_code": "386631414",
            "country_code": "US",
            "telephone_number": "662-837-2202",
            "fax_number": "662-837-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BRENDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R649295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04471830",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.