Individual provider Active NPI

Sheena Lynn Mosley, APRN

  • Family Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1588053565
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009164 Issued in KY
Practice address
1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097
Phone
(606) 886-8546
Fax
(606) 886-8548
NPI assigned
Jan 14, 2015
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 3009164 KY Primary

Addresses

Primary practice location

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097

Mailing address

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other identifiers 1

IdentifierTypeStateIssuer
3009164OtherKYAPRN LICENSE

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
I20150514001078 KY Practitioner - Nurse Practitioner 5597085589 Reassigns benefits to 4 organizations

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
Big Sandy Health Care, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

Practice addresses (Care Compare)

136 Park Rd
Freeburn, KY 41528-8718
Phone (606) 984-5484

450 S Mayo TRL
Paintsville, KY 41240-1220
Phone (606) 887-6145

940 Pkwy Dr
Salyersville, KY 41465-9251
Phone (606) 349-5126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009164KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Feb 1, 2023 Accepting new patients
Big Sandy Health Care, Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Mar 21, 2015 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 1, 2023 Accepting new patients
Big Sandy Health Care Inc CurrentSince Mar 21, 2015 Accepting new patients
Big Sandy Health Care Inc CurrentSince Apr 28, 2022 Accepting new patients
Big Sandy Health Care Inc Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

136 Park Rd
Freeburn, KY 41528
Phone (606) 984-5484

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

450 S Mayo Trl
Paintsville, KY 41240
Phone (606) 887-6145

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

5230 Ky Route 321
Ste 2
Prestonsburg, KY 41653
Phone (606) 886-6565

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: hannah.sheena.008.0170011@bshc.meditab.direct-ci.com

Organizations & group practices 8

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1588053565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "SHEENA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3009164",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.