Shannon Renee Shirley, MSN, RN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Horse Cave, KY
NPI 1235525809 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1235525809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009340 (KY)
- Practice address
- 1501 S Dixie St
Horse Cave, KY 42749-1480 - Phone
- (270) 786-2191
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Bowling Green-Warren County Community Hospital Corporation
Practice addresses (Care Compare)
1681 Normal Dr
Bowling Green, KY 42101-1041
Phone (270) 745-0987
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178
250 Park St
Bowling Green, KY 42101-1795
350 Park St
Bowling Green, KY 42101-1784
350 Park St
Suite 102
Bowling Green, KY 42101-1700
Phone (270) 796-3520
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 796-8000
456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 622-2826
466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 618-3700
523 Park St
Bowling Green, KY 42101-1765
Phone (270) 781-0075
5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone (270) 745-0987
6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 745-0987
720 2ND Ave
Suite 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760
800 Park St
Bowling Green, KY 42101-2347
825 2ND Ave
Bowling Green, KY 42101-1789
825 2ND Ave
Bowling Green, KY 42101-1790
825 2ND Ave
Bowling Green, KY 42101-1791
825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786
Hospital & facility affiliations
- Lifeline Home Health
- The Medical Center Home Care Program
- The Medical Center at Scottsville
- The Medical Center (Bowling Green)
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20150615000435 | KY | Practitioner - Nurse Practitioner | 6709197981 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green-Warren County Community Hospital Corporation | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Family | Current |
Accepting new patients |
| Bowling Green-Warren County Community Hospital Corporation | Family | Current |
Accepting new patients |
| Bowling Green-Warren County Community Hospital Corporation | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients |
Locations
825 2nd Ave
Ste C3
Bowling Green, KY 42101
Phone (270) 780-2660
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
322 S College St
Franklin, KY 42134
Phone (270) 586-4401
1495 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2372
1134 Main St
Munfordville, KY 42765
Phone (270) 524-3641
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009340 | KY | Yes |
Addresses
Primary practice location
1501 S Dixie St
Horse Cave, KY 42749-1480
Mailing address
1495 S Dixie St
Horse Cave, KY 42749-1457
Phone (270) 786-2372
Other names
- Miss Shannon Renee Steenbergen (Maiden Name)
Other providers in Horse Cave, KY
- Play Learn Grow Early Childhood Development Services
- Emily Poynter
- Rhonda Underwood DC PLLC
- Cassie Jo Rogers
- Haley Paige Scott
- JD Lee Shoulders
- Rhonda Leigh Underwood
- Walgreen Co
- Michael C Willian
All providers in Horse Cave, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. 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.