Shelby Bach, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30481 Issued in TN

Practice address

2925 Carpenters Grade Rd
Maryville, TN 37803-2618

Phone

(865) 292-3855

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  Single Specialty, TN

  Medicare reassignment Care Compare group NPD
• Blount Memorial Physician Group, Inc

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1699710194

  TN

  Medicare reassignment Care Compare group
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  Single Specialty, TN

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Urgent Care Clinic/Center
  • Lincoln, AL
  • NPI 1023773322
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1033890132
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Lincoln, AL
  • NPI 1043975345
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Sylacauga, AL
  • NPI 1043975402
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Clanton, AL
  • NPI 1215761341
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Enterprise, AL
  • NPI 1265114094
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Centerville, AL
  • NPI 1336804772
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Care Compare group

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

• Prisma Health - Blount Memorial Hospital Inc.

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLC 737 clinicians

Blount Memorial Physician Group Inc 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2021.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1316601909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CARPENTERS GRADE RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032618",
            "telephone_number": "865-292-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CARPENTERS GRADE RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032618",
            "telephone_number": "865-292-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "SHELBY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TN",
            "license": "224204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa R. Atchley, FNP
• Austin Owen DDS, PLLC
• Authentic Medical Aesthetics & Wellness LLC
• Crystal E Aycocke, CRNA
• B & T Health LLC
• Annie Michelle Baker, TN
• J Newsom Baker, D.D.S.
• Rachelle Leigh Bennett Baker, MSW
• Balance and Support Dynamics, LLC
• Carol Bales, COTA/L

• All providers in Maryville, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.