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

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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