Individual provider Active NPI

Shirley M Vittitow, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1518261197
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006555 Issued in KY
Practice address
9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone
(502) 429-8585
Fax
(502) 429-6157
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7100268660 IN
Nurse Practitioner 363L00000X 71004927A IN
Family Nurse Practitioner 363LF0000X 3006555 KY
Nurse Practitioner 363L00000X 3006555 KY Primary

Addresses

Primary practice location

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 2

IdentifierTypeStateIssuer
7100268660MedicaidKY
300003723MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110208000022 KY Practitioner - Nurse Practitioner 7012197148 Reassigns benefits to 1 organization
I20170629001893 IN Practitioner - Nurse Practitioner 7012197148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

3003 Charlestown Crossing Way D
Family Allergy and Asthma
New Albany, IN 47150-8302
Phone (812) 945-5653

9800 Shelbyville Rd
Suite 220
Louisville, KY 40223-5440
Phone (502) 429-8585

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7100268660INMDNurse Practitioner
71004927AINMDNurse Practitioner
3006555KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Nurse Practitioner CurrentSince Apr 23, 2018 Accepting new patients

Locations

1101 N National Rd
Columbus, IN 47201
Phone (812) 314-7046

3003 Charlestown Xing
Ste D
New Albany, IN 47150
Phone (812) 945-5653

3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

1208 Market St
Lagrange, KY 40031
Phone (502) 222-2203

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1518261197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTITOW",
        "first_name": "SHIRLEY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "7100268660",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004927A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006555",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100268660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003723",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.