Individual provider Active NPI

Shelby Anne Hill, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Grayson, KY
National Provider Identifier
1053970574
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3013447 Issued in KY
Practice address
645 Interstate Dr
Grayson, KY 41143-1704
Phone
(606) 474-0669
NPI assigned
Jun 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3103447 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3013447 KY Primary

Addresses

Primary practice location

645 Interstate Dr
Grayson, KY 41143-1704

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 956-0162

Other practice location 1

910 Kenton Station Dr
Maysville, KY 41056-9613
Phone (606) 759-0490

Other names 1

  • Ms. Shelby Anne Bond Former name

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
I20210114002203 KY Practitioner - Nurse Practitioner 9436562246 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

2300 Ky 801
Morehead,, KY 40351-8995
Phone (606) 548-5550

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3103447KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Urgent Care PLLC CurrentSince Dec 12, 2020 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Man O War Urgent Care LLC CurrentSince Dec 12, 2020 Accepting new patients
Georgetown Urgent Care PLLC CurrentSince Dec 12, 2020 Accepting new patients
Berea Urgent Care LLC CurrentSince Dec 12, 2020 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

645 Interstate Dr
Grayson, KY 41143
Phone (606) 474-0669

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

910 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0490

2300 KY Highway 801 N
Morehead, KY 40351
Phone (606) 548-5546

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • Direct secure messaging: shelby.hill.1@13661.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1053970574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-956-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 INTERSTATE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431704",
            "telephone_number": "606-474-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Kenton Station Dr",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410569613",
            "country_code": "US",
            "telephone_number": "606-759-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHELBY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3103447",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BOND",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.