Violet Patty Shackleford

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

59016 Issued in KY

Practice address

1 Medical Center Drive, Room 4601
Morgantown, WV 26506

Phone

(304) 598-0430

NPI assigned

Mar 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Violet Savannah Patty Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, KY, OH3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Pain Management

Education

University of Kentucky College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians

Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

Merit-based Incentive Payment System (MIPS)

Final score

89.99 of 100Reported as group

Quality

81.97

Promoting interoperability

97

Improvement activities

40

Cost

77.29

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vshackleford353178@direct.wvuhsdirect.com

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.

• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300
  Medicare reassignment Care Compare group NPD
• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Anesthesiology, OH

  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  Anesthesiology

  Medicare reassignment NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588645188
  Medicare reassignment NPD
• Proactive Therapy, Inc

  • Occupational Therapist
  • Frankfort, KY
  • NPI 1932132149
  Care Compare group
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Anesthesia & Intensive Care Consultants,Inc.

  • Anesthesiology Physician
  • Batavia, OH
  • NPI 1164859013
  NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD

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

• Frankfort Hospital, Inc.

  • General Acute Care Hospital
  • Frankfort, KY
  • NPI 1427095488
  Care Compare affiliation

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1821593724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE, ROOM 4601",
            "address_2": "PO BOX 9238",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE, ROOM 4601",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Diagnostic Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016557",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3188 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192369",
            "country_code": "US",
            "telephone_number": "513-475-8922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Thomas More Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173456",
            "country_code": "US",
            "telephone_number": "859-331-0432",
            "fax_number": "859-331-0956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7991 Beechmont Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553191",
            "country_code": "US",
            "telephone_number": "513-401-5968",
            "fax_number": "833-972-4769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Anderson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452383325",
            "country_code": "US",
            "telephone_number": "513-401-5968",
            "fax_number": "833-972-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKLEFORD",
        "first_name": "VIOLET",
        "middle_name": "PATTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "59016",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "29882",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.150401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "violet.shackleford.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Commonwealth Pain Associates PLLC",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Diagnostic Dr",
            "city": "Frankfort",
            "state": "KY",
            "country_code": "US",
            "postal_code": "406016557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIOLET",
            "last_name": "PATTY",
            "middle_name": "SAVANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abhinav Seth
• Meharpreet Sethi
• Jessica Sethman, PA-C
• Erin L Setzer, MD
• Philip Sexauer
• Kandi Shafer
• Madison Shafer
• Sherry Shafer
• Addisyn Shaffer
• Alaina Shaffer, PA-C

• Pain Medicine (Anesthesiology) Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pain Medicine (Anesthesiology) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.