Michael Shane Rust, ARNP
Individual provider Active NPI Family Nurse Practitioner · West Paducah, KY
NPI 1679624217 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1679624217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3156P (KY)
- Practice address
- 5325 Metropolis Lake Rd
West Paducah, KY 42086-9474 - Phone
- (270) 488-3141
- Fax
- (877) 798-6776
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5325 Metropolis Lake Rd
West Paducah, KY 42086-9474
Phone (270) 488-3737
Hospital & facility affiliations
- Mercy Health - Home Care, Paducah
- Centerwell Home Health
- Baptist Health Paducah
- Mercy Health - Lourdes Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070827000084 | KY | Practitioner - Nurse Practitioner | 1759473408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3156P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West McCracken Healthcare PLLC | Family | Current |
Accepting new patients |
| West Kentucky Chiropractic | Past |
Accepting new patients |
Locations
5325 Metropolis Lake Rd
West Paducah, KY 42086
Phone (270) 488-3141
Interoperability endpoints
- mrust@wmhc-ky.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3156P | KY | Yes |
Addresses
Primary practice location
5325 Metropolis Lake Rd
West Paducah, KY 42086-9474
Mailing address
5325 Metropolis Lake Rd
West Paducah, KY 42086-9474
Phone (270) 488-3141
Other providers in West Paducah, KY
- Noah Heine
- Kayla Klope
- Johnnie Leon Knight
- Joe D. Littleton
- Mansfield Eye Clinic PLLC
- Ardenia Sanders-Cleary
- David Preston Thomas
- West Kentucky Chiropractic
- West McCracken Healthcare PLLC
All providers in West Paducah, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.