Shirley Reese Hyatt, ANP-C
Individual provider Active NPI Nurse Practitioner · Asheville, NC
NPI 1124101597 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1124101597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5000698 (NC)
- Practice address
- 551 Brevard Rd
Asheville, NC 28806-2316 - Phone
- (828) 212-7021
- Fax
- (828) 232-8218
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Oncology Partners PA
Practice addresses (Care Compare)
551 Brevard Rd
Asheville, NC 28806-2316
Phone (828) 212-7021
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
- Blue Ridge Regional Hospital
- The McDowell Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000059 | NC | Practitioner - Nurse Practitioner | 0042221863 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-00698 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Angel Medical Center, LLLP | Past |
Accepting new patients | |
| Cancer Care of WNC | Past | Accepting new patients | |
| American Oncology Partners, P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0050-00698 | NC | |
| Nurse Practitioner | 363L00000X | 5000698 | NC | Yes |
Addresses
Primary practice location
551 Brevard Rd
Asheville, NC 28806-2316
Mailing address
PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003961 | Medicaid | NC |
Other providers in Asheville, NC
- Adam Hutchins
- Garnett A Hutchinson
- Sarah Catherine Hutchison
- Benjamin Raymond Hutto
- Julie Hwang
- Mary Kinsey Hyche
- Michael Wolodymyr Hynson
- Lauren Hysong
- Kim Cantor Iamurri
- Marge Iannucci
All providers in Asheville, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.