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Shakita Diane Rawls, NURSE PRACTITIONER

NPI 1275043127ActiveIndividual· Nurse Practitioner, Family· Tylertown, MS

Nurse Practitioner, Family (NURSE PRACTITIONER) in Tylertown, Mississippi, licensed in MS, with an NPI issued in October 2017. Their prescriptions cost Medicare Part D more than their services did: $17,685 for 513 claims, against $9,508 paid for services in 2024.

Overview

NPI1275043127
StatusActive
Entity typeIndividual
CredentialNURSE PRACTITIONER
Sole proprietorNo
NPI issuedOct 5, 2017
Last updated in NPPESJan 16, 2025
Certified by providerJan 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X902365MS
Registered Nurse163W00000X892142MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients31
Services billed195 across 5 procedure codes
Paid by Medicare$9,508

Part D prescriptions in 2024

Prescriptions (claims)513 · 513 30-day fills
Patients38
Total drug cost$17,685
Generic share91% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family nurse practitioners in Tylertown

All family nurse practitioners in Mississippi