NPIMap

Individual provider Active NPI

David E Shelton, APRN

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1669442562
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004746 Issued in KY
Practice address
118 Patriot Drive
Suite 103
Bardstown, KY 40004-9094
Phone
(502) 331-9503
Fax
(502) 331-0334
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 3004746 KY Primary

Addresses

Primary practice location

118 Patriot Drive
Suite 103
Bardstown, KY 40004-9094

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 585-4321

Other identifiers 2

IdentifierTypeStateIssuer
78015898MedicaidKY
P00283050OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000933 KY Practitioner - Nurse Practitioner 0749207231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3481
Phone (502) 583-8383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Medical Center Cardiologists, PSC Family Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients
Medical Center Cardiologists, PSC Past Accepting new patients
Cardiac Care Center of Louisville, PLLC Family Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

118 Patriot Dr
Ste 103
Bardstown, KY 40004
Phone (502) 331-9503

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3920 Dutchmans Ln
Ste 316
Louisville, KY 40207
Phone (502) 899-1213

225 Abraham Flexner Way
Ste 305
Louisville, KY 40202
Phone (800) 553-1799

Interoperability endpoints

  • Direct secure messaging: dshelton14011@uoflhealth-dm.org

Organizations & group practices 9

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1669442562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-585-4321",
            "fax_number": "502-566-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 103",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049094",
            "telephone_number": "502-331-9503",
            "fax_number": "502-331-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015898",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.