Shannon Nicole Kincaid, APRN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017244 Issued in KY

Practice address

576 E Third St Ste 170
Lexington, KY 40508-2251

Phone

(859) 288-2425

Fax

(859) 288-7510

NPI assigned

Jan 13, 2022

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

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
• Bourbon Community Hospital Hospital, Paris, KY, CCN 180046
• Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308
• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Family, KY

  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  KY

  Medicare reassignment Care Compare group NPD
• Berea Urgent Care LLC

  • Nurse Practitioner
  • Berea, KY
  • NPI 1912054792
  Medicare reassignment NPD
• Georgetown Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Georgetown, KY
  • NPI 1780838847
  Medicare reassignment NPD
• Lexington Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1225374887
  Medicare reassignment NPD
• Man O War Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1083101240
  Medicare reassignment NPD
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Frankfort Urgent Care

  • Urgent Care Clinic/Center
  • Frankfort, KY
  • NPI 1831458850
  NPD (past)

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

• Bourbon Community Hospital LLC

  dba Bourbon Community Hospital

  • Rural Acute Care Hospital
  • Paris, KY
  • NPI 1427132158
  Care Compare affiliation
• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation
• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation
• Woodford Hospital LLC

  dba Bluegrass Community Hospital

  • Critical Access Hospital
  • Versailles, KY
  • NPI 1588745012
  Care Compare affiliation

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1245981943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2392",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E THIRD ST STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082251",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Nicholasville Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031458",
            "country_code": "US",
            "telephone_number": "859-523-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405361458",
            "country_code": "US",
            "telephone_number": "859-323-6047",
            "fax_number": "859-257-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kimball, M.D.
• Taylor Kimberlain
• Ashley Renee Kimble, PTA
• Lillian Gale Kincade, ARNP
• Raleigh Kincaid, LMFT
• Tracy Labrina Kincer-Howard, CCC-SLP
• Cherry Brooke Kincheloe
• Gretchen Eileen Kinchen, DMD
• Jennifer Kinder, PH.D.
• Renee Brown Kinder, MS CCC-SLP, RAC-CT

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, 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 Sep 11, 2023; 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.