Individual provider Active NPI

Shiloh Ann Stocksdale, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1851456974
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002199A Issued in IN
Practice address
252 Whittington Pkwy
Louisville, KY 40222-4904
Phone
(024) 237-2465
Fax
(024) 267-2475
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070419000630 IN Practitioner - Nurse Practitioner 9436254422 Reassigns benefits to 1 organization
I20140409000976 KY Practitioner - Nurse Practitioner 9436254422 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. C. Cronen & Associates Inc., PSC CurrentSince Jan 1, 2018 Accepting new patients
Hoke Medical PastSince Mar 22, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Committed 2 Care Family Practice LLC Family PastSince Jul 3, 2011 Accepting new patients
Commonwealth Community Care Centers, LLC Family Past Accepting new patients
Charlestown Primary Care LLC Family Past Accepting new patients

Locations

1373 E State Road 62
Ste 1B
Madison, IN 47250
Phone (502) 423-7246

825 University Woods Dr
Ste 3
New Albany, IN 47150
Phone (502) 423-7246

252 Whittington Pkwy
Louisville, KY 40222
Phone (502) 423-7246

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002199A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

252 Whittington Pkwy
Louisville, KY 40222-4904

Mailing address

PO Box 26798
Belfast, ME 04915-2018
Phone (888) 488-8289

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P01178334OtherINRAILROAD MEDICARE
200857760MedicaidIN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address shiloh.stocksdale.1@21286.direct.athenahealth.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2022.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1851456974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26798",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152018",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224904",
            "telephone_number": "024-237-2465",
            "fax_number": "024-267-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSDALE",
        "first_name": "SHILOH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002199A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01178334",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200857760",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shiloh.stocksdale.1@21286.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Whittington Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402224904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.