Shannon Leigh O'Donnell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011662 Issued in KY

Practice address

4420 Dixie Hwy Ste 114
Louisville, KY 40216

Phone

(502) 449-6464

Fax

(502) 449-6465

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

University of Louisville School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score

81.11 of 100Reported as group

Quality

63.34

Promoting interoperability

100

Improvement activities

40

Cost

73.68

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  Family

  Medicare reassignment Care Compare group NPD
• Community Medical Associates, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1386904647
  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD (past)
• Med-Life-Fit Medical and Lifestyle Management Family Medical Center L

  • Family Medicine Physician
  • Prospect, KY
  • NPI 1023426632
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1043348808
  Care Compare affiliation
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1124314158

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1154329696

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1174819106

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1447388335
  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1659669414

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1700105699

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1255335873

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1699514463
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1831195908
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1891799227
  Care Compare affiliation

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1629578174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DIXIE HWY STE 114",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-449-6464",
            "fax_number": "502-449-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Mud Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402292869",
            "country_code": "US",
            "telephone_number": "502-276-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2412 Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017998",
            "country_code": "US",
            "telephone_number": "270-765-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Dixie Hwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40216",
            "country_code": "US",
            "telephone_number": "502-449-6464",
            "fax_number": "502-449-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100575130",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sodonnell163842@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4420 Dixie Hwy Ste 114",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2412 Ring Rd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas G. O'Daniel Jr., M.D.
• Theresa O'Day
• Amy O'Dell
• Danielle Elizabeth O'Dell, PA-C
• Patrick O'Dell
• Jack P O'Grady, MD
• Adrian R O'Hagan, M.D.
• Marion Alida O'Hagan, APRN
• Avery O'Hara
• Shannon O'Hara, MD

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.