NPIMap

Individual provider Active NPI

Emily Storms Shutt, APRN

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1033834312
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3018496 Issued in KY
Practice address
4123 Dutchmans LN Ste 301
Louisville, KY 40207-4721
Phone
(502) 891-8300
Fax
(502) 891-8668
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 3018496 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste 301
Louisville, KY 40207-4721

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116001539 KY Practitioner - Nurse Practitioner 3779951116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4721
Phone (502) 891-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018496KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Single Specialty Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Community Medical Associates, Inc. Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Community Medical Associates, Inc. Single Specialty Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3999 Dutchmans Ln
Ste 1H
Louisville, KY 40207
Phone (502) 636-7242

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

3101 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 636-7444

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

150 Frankfort Rd
Ste 102C
Shelbyville, KY 40065
Phone (502) 882-8414

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

Interoperability endpoints

  • Direct secure messaging: eshutt283812@direct.nortonhealthcare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1033834312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074721",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "EMILY",
        "middle_name": "STORMS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3018496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.