Active NPI
Shelby S Williams, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1891592713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4031573
- Practice address
- 3920 S Dupont SQ Ste C
Louisville, KY 40207-4615 - Phone
- (812) 282-3899
- Fax
- (812) 282-4172
- NPI assigned
- Feb 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4031573 | KY | |
| Nurse Practitioner | 363L00000X | 71016477A | IN | |
| Family Nurse Practitioner | 363LF0000X | 4031573 | KY | Primary |
Addresses
Primary practice location
3920 S Dupont SQ Ste C
Louisville, KY 40207-4615
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300109848 | Medicaid | IN | |
| 7101046150 | Medicaid | KY | |
| K0019396 | Other | KY | KY MEDICARE |
| 300109848 | Other | IN | IN MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129
Hospital & facility affiliations
- Baptist Health Floyd
- Norton Hospitals, Inc
- Norton Clark Hospital
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Louisville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4031573 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Urology, PSC | Nurse Practitioner | Current | Accepting new patients |
Locations
3431 Solutions Ctr
Chicago, IL 60677
101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196
3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116
300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595
Organizations & group practices 1
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.
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1891592713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 S DUPONT SQ STE C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074615",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHELBY",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-27",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4031573",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71016477A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4031573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300109848",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101046150",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICARE",
"identifier": "K0019396",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICARE",
"identifier": "300109848",
"state": "IN"
}
],
"endpoints": [],
"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 Jul 21, 2026; 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.