Shannon Renee Shirley, MSN, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009340 Issued in KY

Practice address

1501 S Dixie St
Horse Cave, KY 42749-1480

Phone

(270) 786-2191

NPI assigned

Apr 10, 2015

Last updated

May 11, 2015By 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 1

Addresses

Other names 1

• Miss Shannon Renee Steenbergen (Maiden Name) Former name

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health Home health agency, Tompkinsville, KY, CCN 187130
• The Medical Center Home Care Program Home health agency, Bowling Green, KY, CCN 187044
• The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324
• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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.

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center Nutrition Therapy Program

  • Registered Dietitian
  • Bowling Green, KY
  • NPI 1831112507
  Medicare reassignment Care Compare group NPD
• Commonwealth Health Corporation, Inc

  dba Med Center Health Neurology

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1881109304
  Medicare reassignment Care Compare group NPD
• Bowling Green-Warren County Community Hospital Corporation

  dba Med Center Health Primary Care Scottsville

  • Rural Health Clinic/Center
  • Scottsville, KY
  • NPI 1154483253
  NPD
• Bowling Green-Warren County Community Hospital Corporation

  dba Med Center Health Hematology & Oncology Bowling Green

  • Hematology & Oncology Physician
  • Bowling Green, KY
  • NPI 1891652343

  Family

  NPD
• Commonwealth Health Corporation, Inc.

  dba Med Center Health Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
  • NPI 1104470699
  NPD
• Commonwealth Health Corporation, Inc.

  dba Med Center Health Primary Care

  • Internal Medicine Physician
  • Bowling Green, KY
  • NPI 1992180772

  Family

  NPD

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

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center Home Care Program

  • Home Health Agency
  • Bowling Green, KY
  • NPI 1144205758
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center at Scottsville

  • Critical Access Hospital
  • Scottsville, KY
  • NPI 1710906565
  Care Compare affiliation
• LHCG Xlvi, LLC

  dba Lifeline Home Health

  • Home Health Agency
  • Tompkinsville, KY
  • NPI 1972933323
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1235525809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491457",
            "telephone_number": "270-786-2372",
            "fax_number": "270-786-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491480",
            "telephone_number": "270-786-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "STEENBERGEN (MAIDEN NAME)",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Horse Cave, KY
• Providers in Horse Cave, 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 May 11, 2015; 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.