Individual provider Active NPI

Shannon Estel Mills, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1548979396
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018679 Issued in KY
Practice address
315 Hospital Dr
Barbourville, KY 40906-7917
Phone
(606) 546-4060
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 3018679 KY Primary

Addresses

Primary practice location

315 Hospital Dr
Barbourville, KY 40906-7917

Mailing address

315 Hospital Dr
Barbourville, KY 40906-7917
Phone (606) 277-2999

Other practice location 1

1501 W 5th St
London, KY 40741-1618
Phone (606) 877-5277

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
I20230331001395 KY Practitioner - Nurse Practitioner 4688049828 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
Barbourville Family Health CenterGroup PAC ID 7416867387, 30 clinicians

Practice addresses (Care Compare)

215 N Allison Ave
Barbourville, KY 40906-1336
Phone (606) 546-9287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018679KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center CurrentSince Feb 27, 2023 Accepting new patients
Barbourville Family Health Center CurrentSince Feb 27, 2023 Accepting new patients

Locations

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

315 Hospital Dr
Barbourville, KY 40906
Phone (606) 277-2999

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548979396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917",
            "telephone_number": "606-277-2999",
            "fax_number": "606-277-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917",
            "telephone_number": "606-546-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W 5th St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411618",
            "country_code": "US",
            "telephone_number": "606-877-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SHANNON",
        "middle_name": "ESTEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-05-11",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.