NPIMap

Individual provider Active NPI

Shelby L Overpeck, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Prospect, KY
National Provider Identifier
1699513119
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4024815 Issued in KY
Practice address
5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone
(812) 207-6754
Fax
(502) 713-0300
NPI assigned
Jul 18, 2024
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4024815 KY Primary

Addresses

Primary practice location

5807 Harrods Glen Dr
Prospect, KY 40059-7650

Mailing address

5807 Harrods Glen Dr
Prospect, KY 40059-7650

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
I20240806004165 KY Practitioner - Nurse Practitioner 0749727873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Psychiatry PLLCGroup PAC ID 4385937598, 12 clinicians

Practice addresses (Care Compare)

2020 Newburg Rd
Louisville, KY 40205-1803
Phone (502) 451-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4024815KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Psychiatry PLLC CurrentSince Jul 22, 2024 Accepting new patients
US Family Care Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (606) 877-4579

11103 Park Rd
Louisville, KY 40223
Phone (502) 245-4171

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

1850 Bluegrass Ave
#U
Louisville, KY 40215

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

2020 Newburg Rd
Louisville, KY 40205
Phone (502) 315-1458

2020 Newburg Rd
#U
Louisville, KY 40205

2823 Frankfort Ave
Louisville, KY 40206
Phone (502) 893-0241

3121 Brooklawn Campus Dr
Louisville, KY 40218
Phone (502) 451-5177

Organizations & group practices 2

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1699513119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "fax_number": "502-713-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "telephone_number": "812-207-6754",
            "fax_number": "502-713-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERPECK",
        "first_name": "SHELBY",
        "middle_name": "L",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4024815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.