Individual provider Active NPI

Shawn Compton, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1053043349
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017908 Issued in KY
Practice address
210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620
Phone
(606) 436-0711
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017908 KY Primary

Addresses

Primary practice location

210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620

Mailing address

PO Box 959
Hazard, KY 41702-0959
Phone (606) 436-0711

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715001561 KY Practitioner - Nurse Practitioner 8527449990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

Practice addresses (Care Compare)

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017908KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Jan 9, 2023 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Jan 19, 2023 Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

1908 N Main St
Ste 120
Hazard, KY 41701

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

279 E Main St
Hazard, KY 41701
Phone (606) 487-9505

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shawn.compton.p1@direct.kymha.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1053043349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020959",
            "telephone_number": "606-436-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD STE 106",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "SHAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.