NPIMap

Individual provider Active NPI

Shelby Bliss, APRN

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1356095749
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3017996 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-7001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3017996 KY Primary
Critical Care Medicine Registered Nurse 163WC0200X 1152996 KY

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-7001

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 294-3558

Other practice location 1

200 Abraham Flexner Way Ste 903
Louisville, KY 40202-2877
Phone (502) 916-1055

Other identifiers 2

IdentifierTypeStateIssuer
1152996OtherKYKBN
7100822620MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713004162 KY Practitioner - Nurse Practitioner 2365823994 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Lung Care PLLCGroup PAC ID 5496910143, 8 clinicians

Practice addresses (Care Compare)

1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152996KYMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Kentucky CurrentSince Jul 1, 2022 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jul 29, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Louisville Lung Care PLLC Acute Care CurrentSince Oct 16, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

201 Abraham Flexner Way
Ste 903
Louisville, KY 40202
Phone (502) 581-9223

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Abraham Flexner Way
Ste 903
Louisville, KY 40202
Phone (502) 916-1055

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

1015 DuPont Rd
Louisville, KY 40207
Phone (502) 883-0227

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1356095749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-294-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Abraham Flexner Way Ste 903",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-916-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLISS",
        "first_name": "SHELBY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3017996",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KY",
            "license": "1152996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KBN",
            "identifier": "1152996",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100822620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.