Shandrika Renee Feitelson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6714 Issued in KY

Practice address

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019

Phone

(502) 350-5000

NPI assigned

Dec 1, 2010

Last updated

Jan 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Simplicity Health Nursing HomeGroup PAC ID 2668822891, 10 clinicians

Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Simplicity Health Nursing Home

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1043095003
  Medicare reassignment Care Compare group NPD
• Eventus Ecs, Inc

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1073353496

  KY

  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Midwest Inc

  • Family Medicine Physician
  • Columbus, IN
  • NPI 1386252757

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Eventus Ecs - Kentucky, PLLC

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1396563276
  Medicare reassignment NPD
• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026

  Family

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Nurse Practitioner

  Medicare reassignment NPD
• Eventus WH Midwest Care, LLC

  • Nurse Practitioner
  • Concord, NC
  • NPI 1588481717

  KY

  Medicare reassignment NPD
• 1 Care Partners Ky LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mt Washington, KY
  • NPI 1790659662
  Medicare reassignment
• Simplicity Transitional Health LLC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1831884568
  NPD
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD
• Pearl Medical Practice PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1669841631
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1053613729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049019",
            "telephone_number": "502-350-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049019",
            "telephone_number": "502-350-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEITELSON",
        "first_name": "SHANDRIKA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Claire Farmer, DMD
• Amy Elizabeth Farrell, M.D.
• Robert Joseph Farrell IV, M.D.
• Fast Pace Kentucky PLLC (Fast Pace Health)
• Fast Pace Kentucky, PLLC
• Mary P Fenwick, ARNP
• Michael Fenwick, RPH
• James Ferrara, OTR
• Brianna Evelyn Ferrill
• Jenna Anne Filiatreau, MHA

• Family Nurse Practitioner in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.

Verify at the official NPI Registry.