Individual provider Active NPI

Shelly Shempert, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1902218985
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000120213 Issued in TN
Practice address
6612 Maynardville Pike
Knoxville, TN 37918-4817
Phone
(865) 688-1584
Fax
(865) 688-1581
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 0000120213 TN Primary

Addresses

Primary practice location

6612 Maynardville Pike
Knoxville, TN 37918-4817

Mailing address

6612 Maynardville Pike
Knoxville, TN 37918-4817
Phone (865) 688-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, WV, IN, VA5 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.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20141112000820 TN Practitioner - Nurse Practitioner 6800018631 Reassigns benefits to 1 organization
I20260421001051 OH Practitioner - Nurse Practitioner 6800018631 Reassigns benefits to 1 organization
I20260518000051 WV Practitioner - Nurse Practitioner 6800018631 Reassigns benefits to 1 organization
I20260518003018 IN Practitioner - Nurse Practitioner 6800018631 Reassigns benefits to 1 organization
I20260521002443 VA Practitioner - Nurse Practitioner 6800018631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808

14751 Carey Rd
Carmel, IN 46033-9084
Phone (317) 575-2208

150 Beechmont Dr NE
Harrison Healthcare Center
Corydon, IN 47112-1717
Phone (812) 738-0550

2125 Royce St
Portsmouth, OH 45662-4714
Phone (740) 354-6635

240 Beechmont Dr NE
Indian Creek Healthcare Center
Corydon, IN 47112-1718
Phone (812) 738-8127

3 Merit Dr
Richmond Heights, OH 44143-1457
Phone (216) 261-9600

3800 Summit Glen Dr
Dayton, OH 45449-3647
Phone (937) 436-2273

570 N Rocky River Dr
Berea, OH 44017-1613
Phone (440) 243-2122

620 Water St
Chardon, OH 44024-1149
Phone (440) 285-9400

625 Probasco St
Cincinnati, OH 45220-2710
Phone (513) 281-2464

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

6940 Stiegler LN
Cincinnati, OH 45243-2635
Phone (513) 561-6400

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

8700 Moran Rd
Cincinnati, OH 45244-1986
Phone (513) 578-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000120213TNMDFamily Nurse Practitioner

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1902218985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184817",
            "telephone_number": "865-688-1584",
            "fax_number": "865-688-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184817",
            "telephone_number": "865-688-1584",
            "fax_number": "865-688-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMPERT",
        "first_name": "SHELLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000120213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.