Shannon Wiles, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011177 Issued in KY

Practice address

2084 Main St
Willisburg, KY 40078-8199

Phone

(859) 375-9200

NPI assigned

Mar 10, 2017

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 24 On Physicians, PC

  • Hospitalist Physician
  • Danville, KY
  • NPI 1679522346
  Medicare reassignment NPD
• Ephraim McDowell Regional Medical Center Incorporated

  dba Ephraim McDowell Profees

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1316141351
  Medicare reassignment NPD
• Isaiah House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Willisburg, KY
  • NPI 1396086559
  Medicare reassignment NPD
• Ephraim McDowell Regional Medical Center, Incorporated

  dba Ephraim McDowell Cancer Support Clinic

  • Specialist
  • Danville, KY
  • NPI 1336580554
  NPD
• Ephraim McDowell Regional Medical Center, Incorporated

  dba Ephraim McDowell Bluegrass Drug Store

  • Community/Retail Pharmacy
  • Danville, KY
  • NPI 1831923291
  NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Ephraim McDowell Health Resource, Inc.

  dba Ephraim McDowell Commonwealth Cancer Center - Somerset

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1528911609
  NPD (past)
• Isaiah House Inc

  dba Isaiah House Community Health Center

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1215793112
  NPD (past)
• Isaiah House Inc

  dba Real Health Primary Care

  • Internal Medicine Physician
  • Danville, KY
  • NPI 1710587555
  NPD (past)
• Isaiah House Inc

  dba Real Hope Behavioral Health - Georgetown

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Georgetown, KY
  • NPI 1720798523
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1982145975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "SHANNON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Chiropractic of Willisburg PLLC
• Rachael Parsons
• Shannon Price, LPCC
• The Good Clinic, PLLC
• Lynnsey Kaitlin Vandeventer, LPCC, NCC
• Dennis James Yaste, LCSW

• Family Nurse Practitioner in Willisburg, KY
• Providers in Willisburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.

Verify at the official NPI Registry.