Individual provider Active NPI

William Shayne Bennett, APRN

  • Family Nurse Practitioner
  • Flatwoods, KY
National Provider Identifier
1356735955
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009174 Issued in KY
Practice address
2420 Argillite Rd Ste B
Flatwoods, KY 41139-1972
Phone
(606) 836-3900
Fax
(606) 836-0205
NPI assigned
Mar 23, 2015
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009174 KY Primary

Addresses

Primary practice location

2420 Argillite Rd Ste B
Flatwoods, KY 41139-1972

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-0417

Other practice location 1

1107 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 834-0125

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
I20150424001599 KY Practitioner - Nurse Practitioner 7618296658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1109 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 286-8086

209 N 2ND St
Suite a
Ironton, OH 45638-1485
Phone (740) 534-1410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Mar 27, 2015 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Family CurrentSince Mar 27, 2015 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

4004 Louisa Rd
Catlettsburg, KY 41129
Phone (606) 739-6095

1107 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 834-0125

1109 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 420-0220

2420 Argillite Rd
Ste B
Flatwoods, KY 41139
Phone (606) 836-3900

Interoperability endpoints

  • Direct secure messaging: wbennett6085@direct.kdhealth.us

Organizations & group practices 4

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 2

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1356735955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-0417",
            "fax_number": "606-408-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ARGILLITE RD STE B",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391972",
            "telephone_number": "606-836-3900",
            "fax_number": "606-836-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Bellefonte Rd",
            "address_purpose": "LOCATION",
            "city": "Flatwoods",
            "state": "KY",
            "postal_code": "411392503",
            "country_code": "US",
            "telephone_number": "606-834-0125",
            "fax_number": "606-834-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "WILLIAM",
        "middle_name": "SHAYNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flatwoods, KY

Sources for this page

Verify at the official NPI Registry.