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

Shasta Pickens

Individual provider Family Nurse Practitioner · NPI 1679297436

Shasta Pickens is a Nurse Practitioner in Laurel, Mississippi. Qualified in 2023, 3 years ago. Practices with Family Health Center, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

117 S 11th Ave
Laurel, MS 39440-4312
Phone: (601) 425-3033
Fax: (601) 422-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907092 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 907223 (MS)

Record details

NPI number1679297436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESJanuary 14, 2025
Certification dateDecember 16, 2024
Mailing address117 S 11th Ave, Laurel, MS 39440-4312

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 Family Health Center, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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