Adrienne Kelsey Tadlock, CPNP-AC
NPI 1033870605ActiveIndividual· Nurse Practitioner, Pediatrics· Jackson, MS
Nurse Practitioner, Pediatrics (CPNP-AC) in Jackson, Mississippi, trained at University of Mississippi School of Medicine (class of 2021). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1033870605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPNP-AC |
| Sole proprietor | No |
| NPI issued | Jan 6, 2022 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 905076 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Nurse Practitioner |
Medical group
- State of Mississippi - University of Mississippi Medical CenterJackson, MS · 965 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 pediatric nurse practitioners in Jackson · All pediatric nurse practitioners in Mississippi