SHANNON MARIE HAMILTON APRN
NPI 1104282623
Nurse Practitioner - Family in Louisville, KY

Q: What is Shannon Hamilton's NPI number?

The NPI number for Shannon Hamilton is 1104282623. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Q: What is Shannon Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Hamilton was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since January 13, 2016PECOS Enrolled

100/100

CMS Quality Rating

312 S 4TH ST STE 700, LOUISVILLE, KY 40202(502) 804-5495(833) 563-1715 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Sep 5, 2023, May 22, 2023 and 6 more (9 updates tracked since 2016).

On this page

About Shannon Marie Hamilton Aprn NPPES

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

SHANNON MARIE HAMILTON APRN (NPI 1104282623) is an individual family provider in Louisville, Kentucky, licensed in Tennessee (33071) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104282623

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON MARIE HAMILTONCredential: APRN

Location Address312 S 4TH ST STE 700Louisville, KY 40202-3046

Mailing Address312 S 4th St Ste 700Louisville, KY 40202-3046 · (502) 804-5495 · Fax (833) 563-1715

Phone(502) 804-5495

Fax(833) 563-1715

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 13, 2016

Last NPPES UpdateJuly 30, 20259 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1104282623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 33071✔ Licensed in FL · ARNP3259502

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN3259502 (FL)

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License ARNP3259502 (FL)

312 S 4TH ST STE 700, Louisville, KY 40202

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Other Identifiers 1

Medicaid102975500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Marie Hamilton Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254635972

PECOS Enrollment IDI20251229001112

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

LAGENIA K WRIGHT ARNP

Nurse Practitioner (Family)