DR. VANESSA JANE SHANK M.D.
NPI 1053394940
General Practice in Fort Knox, KY

Active since November 23, 2005PECOS Enrolled
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121(502) 624-9864 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vanessa Jane Shank M.d. NPPES

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

DR. VANESSA JANE SHANK M.D. (NPI 1053394940) is an individual general practice provider in Fort Knox, Kentucky, licensed in Indiana (01056852A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053394940
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. VANESSA JANE SHANKCredential: M.D.
Location Address289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITALFort Knox, KY 40121-5111
Mailing Address175 Mary Lee StElizabethtown, KY 42701-4481 · (859) 839-9906
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateNovember 13, 2014
NPI 1053394940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IN · 01056852A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
289 IRELAND AVE, Fort Knox, KY 40121

Other Identifiers 1

Other01056852AIN · General Practice

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vanessa Jane Shank M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
289 IRELAND AVE
FORT KNOX, KY 40121
Nurse Practitioner (Family)
289 IRELAND AVE
FORT KNOX, KY 40121
Pharmacist
289 IRELAND AVE
FORT KNOX, KY 40121
Physical Therapist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
289 IRELAND AVE
FORT KNOX, KY 40121
Nurse Practitioner (Women's Health)
289 IRELAND AVE
FORT KNOX, KY 40121
Speech-Language Pathologist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Physician Assistant (Medical)
289 IRELAND AVE, IRELANDARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Shank's NPI number?

The NPI number for Vanessa Shank is 1053394940. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Vanessa Shank located?

Vanessa Shank practices at 289 Ireland Ave Ireland Army Community Hospital, Fort Knox, KY 40121. The listed phone number is (502) 624-9864.

What is Vanessa Shank's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Vanessa Shank enrolled in Medicare?

Yes. Vanessa Shank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Shank was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.