SHAMECKA SULLIVAN PMHNP
NPI 1023840717
Nurse Practitioner - Psychiatric/Mental Health in Fairdale, KY

Q: What is Shamecka Sullivan's NPI number?

The NPI number for Shamecka Sullivan is 1023840717. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Q: What is Shamecka Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shamecka Sullivan was last updated on March 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment

1000 NEIGHBORHOOD PL, FAIRDALE, KY 40118(502) 361-2381(502) 996-8309 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2025, Aug 20, 2024 (2 updates tracked since 2024).

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About Shamecka Sullivan Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMECKA SULLIVAN PMHNP (NPI 1023840717) is an individual psychiatric/mental health provider in Fairdale, Kentucky, licensed in Kentucky (4024554) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023840717

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHAMECKA SULLIVANCredential: PMHNP

Location Address1000 NEIGHBORHOOD PLFairdale, KY 40118-9697

Mailing AddressPo Box 392552Pittsburgh, PA 15251-9500 · (512) 792-4402

Phone(502) 361-2381

Fax(502) 996-8309

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 20, 2024

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1023840717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4024554

1000 NEIGHBORHOOD PL, Fairdale, KY 40118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shamecka Sullivan Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456883297

PECOS Enrollment IDI20241017001137

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANUEL L BROWN JR. M.D.

Family Medicine (Adult Medicine)