HOLLY MARIE SHOULDERS RN
NPI 1073265864
Nurse Practitioner in Greenville, KY
About Holly Marie Shoulders Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY MARIE SHOULDERS RN (NPI 1073265864) is an individual nurse practitioner in Greenville, Kentucky, licensed in Kentucky (3017503) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Marie Shoulders Rn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Shoulders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Powderly, KY 42367
- Reassigned Medicare billing, Kentucky enrollment
- 325 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Holly Shoulders's NPI number?
The NPI number for Holly Shoulders is 1073265864. It was assigned to this individual provider in the NPPES registry on January 22, 2022.
Where is Holly Shoulders located?
Holly Shoulders practices at 400 Airport Rd, Greenville, KY 42345. The listed phone number is (812) 598-1218.
What is Holly Shoulders's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Holly Shoulders enrolled in Medicare?
Yes. Holly Shoulders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Holly Shoulders's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Shoulders reassigns Medicare benefits to 2 organizations: Baptist Health Deaconess Medical Group Inc (Powderly, KY) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Shoulders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Shoulders accept?
Health plans from Anthem Blue Cross and Blue Shield list Holly Shoulders as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Shoulders was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Holly Marie Shoulders, RN · NPI 1073265864
Nurse Practitioner physician in Greenville, Kentucky. Individual provider, active in the CMS NPPES registry since January 22, 2022.
## Identity
- **NPI:** 1073265864 (Entity type: Individual)
- **Enumerated:** January 22, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3017503 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 AIRPORT RD, Greenville, KY 42345-2800
- **Phone:** (812) 598-1218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baptist Health Deaconess Medical Group Inc (NPI 1558942011, Powderly, KY); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 22, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073265864) · Data from the CMS NPPES public registry.