Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Victoria Shioli Baxter, NP

Individual provider Family Nurse Practitioner · NPI 1053147579

Nicole Victoria Shioli Baxter, NP is a Nurse Practitioner in Long Beach, Mississippi. Qualified in 2023, 3 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

110 E Railroad St
Long Beach, MS 39560-4625
Phone: (228) 678-7036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906762 (MS)

Record details

NPI number1053147579
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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