NPIMap

Individual provider Active NPI

Rachel Shelton, M.D.

  • Surgery Physician
  • Somerset, KY
National Provider Identifier
1215061304
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
57007406 Issued in OH
Practice address
350 Hospital Way
Suite 270
Somerset, KY 42503-2872
Phone
(606) 425-4298
Fax
(606) 425-4299
NPI assigned
Mar 14, 2007
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57007406 OH Primary

Addresses

Primary practice location

350 Hospital Way
Suite 270
Somerset, KY 42503-2872

Mailing address

284 Waitsboro Drive
Somerset, KY 42503
Phone (606) 425-6002

Other identifiers 1

IdentifierTypeStateIssuer
00675002OtherKYMEDICARE PTAN

Other names 1

  • Rachel Lewis Former name

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
I20080723000410 KY Practitioner - General Surgery 0143393231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nautilus Health Care Group PLCGroup PAC ID 4183868052, 9 clinicians

Practice addresses (Care Compare)

353 Bogle St
Somerset, KY 42503-2888
Phone (606) 451-3820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue749
Removal of skin lesions205
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57007406OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell County Hospital Current Accepting new patients
Nautilus Health Care Group, PLC Surgery CurrentSince Mar 1, 2014 Accepting new patients
Russell County Hospital Surgery CurrentSince Feb 9, 2014 Accepting new patients
Russell County Hospital CurrentSince Feb 9, 2014 Accepting new patients
Nautilus Health Care Group LLC Surgery Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

3900 Kresge Way
Louisville, KY 40207
Phone (502) 259-4470

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

Interoperability endpoints

  • Direct secure messaging: rshelton@direct-address.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 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1215061304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 WAITSBORO DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-425-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 270",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-425-4298",
            "fax_number": "606-425-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "RACHEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57007406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00675002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.