Individual provider Active NPI

Denise Ann Shook, APRN

  • Family Nurse Practitioner
  • Milan, TN
National Provider Identifier
1891492450
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33430 Issued in TN
Practice address
14 Hughes Loop
Milan, TN 38358-5503
Phone
(814) 594-5419
NPI assigned
Feb 13, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33430 TN Primary

Addresses

Primary practice location

14 Hughes Loop
Milan, TN 38358-5503

Mailing address

14 Hughes Loop
Milan, TN 38358-5503
Phone (814) 594-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503003554 TN Practitioner - Nurse Practitioner 9537524103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 W Forest Ave
Jackson, TN 38301-3904
Phone (731) 541-5087

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33430TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Apr 24, 2024 Accepting new patients
Kidney Experts PLLC CurrentSince Feb 1, 2024 Accepting new patients
Jackson Madison County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Jackson Madison County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bane Medical Management LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510

160 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 286-1510

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087

415 S Lindell St
Martin, TN 38237
Phone (731) 255-5138

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1891492450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HUGHES LOOP",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585503",
            "telephone_number": "814-594-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUGHES LOOP",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585503",
            "telephone_number": "814-594-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.