NPIMap

Individual provider Active NPI

Shelley Irving, PA

  • Physician Assistant
  • Morehead, KY
National Provider Identifier
1487892386
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
316 W 2ND St
Morehead, KY 40351-1550
Phone
(606) 784-3771
Fax
(606) 783-6847
NPI assigned
Jan 30, 2009
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY Primary

Addresses

Primary practice location

316 W 2ND St
Morehead, KY 40351-1550

Mailing address

316 W 2ND St
Morehead, KY 40351-1550
Phone (606) 784-3771

Other identifiers 1

IdentifierTypeStateIssuer
7100107470MedicaidKY

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
I20090304000368 KY Practitioner - Physician Assistant 3476619131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc CurrentSince Jun 1, 2010 Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Jun 1, 2010 Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Regional Radiology Physicians Services Current Accepting new patients
St Claire Medical Center, Inc., Physician Assistant Current Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

Interoperability endpoints

  • Direct secure messaging: shelley.irving.2@17140.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Claire Regional Medical CenterMorehead, KY, CCN 180018 Hospital Corporate Director Aug 1, 2021
St Claire Regional Medical CenterMorehead, KY, CCN 18S018 Hospital Corporate Director Aug 1, 2021
St Claire Homecare/HospiceMorehead, KY, CCN 187037 Home health agency Corporate Director May 4, 2021
St Claire Medical Center IncMorehead, KY, CCN 181514 Hospice Corporate Director Aug 1, 2021
St. Claire Regional Family Medicine-OwingsvilleOwingsville, KY, CCN 183416 Rural health clinic Corporate Director Aug 1, 2021
St. Claire Regional Family Medicine-Sandy HookSandy Hook, KY, CCN 183415 Rural health clinic Corporate Director Aug 1, 2021
St. Claire Regional Family Medicine-FrenchburgFrenchburg, KY, CCN 183418 Rural health clinic Corporate Director Aug 1, 2021
St. Claire Regional Family Medicine-Olive HillOlive Hill, KY, CCN 183417 Rural health clinic Corporate Director Aug 1, 2021
St. Claire Medical Center IncMorehead, KY, CCN 188571 Rural health clinic Corporate Director Aug 1, 2024
St. Claire Medical Center IncMorehead, KY, CCN 188572 Rural health clinic Corporate Director Aug 1, 2021

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1487892386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "SHELLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100107470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.