Individual provider Active NPI

Shelbi Ann Navarrette, APRN

  • Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1285178517
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1090586 Issued in KY
Practice address
1009 N Dixie Ave
Elizabethtown, KY 42701-2521
Phone
(270) 737-0678
Fax
(270) 769-1535
NPI assigned
Dec 6, 2016
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1090586 KY Primary

Addresses

Primary practice location

1009 N Dixie Ave
Elizabethtown, KY 42701-2521

Mailing address

1009 N Dixie Ave
Elizabethtown, KY 42701-2521
Phone (270) 737-0678

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170127001078 KY Practitioner - Nurse Practitioner 7012299019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthway Internal Medicine and Pediatrics PLLCGroup PAC ID 0042483851, 3 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1009 N Dixie Ave
Elizabethtown, KY 42701-2521
Phone (270) 737-0678

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1090586KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthway Internal Medicine & Pediatrics PLLC Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients

Locations

1009 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 737-0678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBBCCA

Organizations & group practices 1

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 1

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1285178517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012521",
            "telephone_number": "270-737-0678",
            "fax_number": "270-769-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012521",
            "telephone_number": "270-737-0678",
            "fax_number": "270-769-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRETTE",
        "first_name": "SHELBI",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1090586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.