Active NPI
Rebecca Agnes Wilshere, M.D.
- Family Medicine Physician
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35903
- Practice address
- 7309 US Highway 42
Florence, KY 41042-5561 - Phone
- (859) 282-1241
- Fax
- (859) 282-7087
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35903 | KY | Primary |
Addresses
Primary practice location
7309 US Highway 42
Florence, KY 41042-5561
Mailing address
7309 US Highway 42
Florence, KY 41042-5561
Phone (859) 282-1241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64127897 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Lakeshore Dr
Florence, KY 41042-9790
Phone (859) 468-9155
Hospital & facility affiliations
- St Elizabeth Florence
- St Elizabeth Edgewood
- Gateway Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imw Consulting, PLLC | Current | Accepting new patients | |
| L.B. Payne D.C. P.S.C. | Past | Accepting new patients | |
| Vibra Rehabilitation Hospital of Florence LLC | Past | Accepting new patients |
Locations
5940 Merchants St
Florence, KY 41042
Phone (859) 391-4814
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Florence, KY
- NPI 1477138113
-
- Chiropractor
- Florence, KY
- NPI 1528118270
-
- Rehabilitation Hospital
- Florence, KY
- NPI 1154735686
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- Rehabilitation Hospital
- Florence, KY
- NPI 1154735686
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1003835455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 US HIGHWAY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410425561",
"telephone_number": "859-282-1241",
"fax_number": "859-282-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 US HIGHWAY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410425561",
"telephone_number": "859-282-1241",
"fax_number": "859-282-7087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSHERE",
"first_name": "REBECCA",
"middle_name": "AGNES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "35903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64127897",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.