Individual provider Active NPI

Shelbi L Nolan, APRN, FNP-C

  • Family Nurse Practitioner
  • Irvine, KY
National Provider Identifier
1497473029
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018071 Issued in KY
Practice address
275 Court St
Irvine, KY 40336-1089
Phone
(606) 723-2167
Fax
(606) 723-2112
NPI assigned
Aug 19, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 3018071 KY Primary

Addresses

Primary practice location

275 Court St
Irvine, KY 40336-1089

Mailing address

275 Court St
Irvine, KY 40336-1089
Phone (606) 723-2167

Other identifiers 1

IdentifierTypeStateIssuer
7100841970MedicaidKY

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
I20220922001124 KY Practitioner - Nurse Practitioner 2860877107 Reassigns benefits to 1 organization

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
Memorial Hospital, Inc.Group PAC ID 4486616141, 60 clinicians
Estill Medical Clinic, PSCGroup PAC ID 5597845255, 6 clinicians

Practice addresses (Care Compare)

145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000

275 Court St
Irvine, KY 40336-1077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018071KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc. Family CurrentSince Jun 1, 2025 Accepting new patients
Memorial Hospital, Inc. Family CurrentSince Jun 1, 2025 Accepting new patients

Locations

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

515 Memorial Dr
Ste 1
Manchester, KY 40962
Phone (606) 598-4500

Interoperability endpoints

  • Direct secure messaging: snolan5325190@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1497473029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COURT ST",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361089",
            "telephone_number": "606-723-2167",
            "fax_number": "606-723-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COURT ST",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361089",
            "telephone_number": "606-723-2167",
            "fax_number": "606-723-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "SHELBI",
        "middle_name": "L",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100841970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.