Active NPI
Shiloh Ann Stocksdale, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1851456974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002199A
- 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.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1881759488
IN, KY
-
- Family Nurse Practitioner
- Jeffersonville, IN
- NPI 1861770984
Family
-
- Procedural Dermatology Physician
- Prestonsburg, KY
- NPI 1568094670
Family
-
- Family Medicine Physician
- Charlestown, IN
- NPI 1780153726
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. C. Cronen & Associates Inc., PSC | Current | Accepting new patients | |
| Hoke Medical | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Committed 2 Care Family Practice LLC | Family | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002199A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01178334 | Other | IN | RAILROAD MEDICARE |
| 200857760 | Medicaid | IN |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.