Shireisla Denae Kelly, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

908520 Issued in MS

Practice address

110 Cross Park Dr
Pearl, MS 39208-9016

Phone

(601) 397-6731

NPI assigned

Jun 22, 2026

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1972439578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SPRINGFIELD CT",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571583",
            "telephone_number": "601-278-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CROSS PARK DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089016",
            "telephone_number": "601-397-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHIREISLA",
        "middle_name": "DENAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnson, CPHT
• Joyce M Johnson, MN, RN, CFNP
• Kurt Darwin Johnson, MD
• Teleshia Danielle Johnson, DMD
• Joseph Joseph Joseph, O.D.
• Key Dental Group of Pearl LLC
• Kids First Pediatric & Adult Medicine, LLC
• Olivia Kincaid
• Catrina D Kitchens
• William Frederick Krooss, MD

• Family Nurse Practitioner in Pearl, MS
• Providers in Pearl, 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 Jun 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.