SHELBY MAUREEN KLINGENSMITH APRN-CNP, PMHNP-BC
NPI 1104561273
Nurse Practitioner - Psychiatric/Mental Health in Covington, KY

Active since May 03, 2022PECOS EnrolledAccepts Medicare Assignment
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2024, May 27, 2022, May 3, 2022 (3 updates tracked since 2022).

About Shelby Maureen Klingensmith Aprn-cnp, Pmhnp-bc NPPES

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

SHELBY MAUREEN KLINGENSMITH APRN-CNP, PMHNP-BC (NPI 1104561273) is an individual psychiatric/mental health provider in Covington, Kentucky, licensed in Kentucky (3017710) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104561273
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHELBY MAUREEN KLINGENSMITHCredential: APRN-CNP, PMHNP-BC
Location Address1500 JAMES SIMPSON JR WAYCovington, KY 41011-0801
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940
Fax(859) 301-5940
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 3, 2022
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1104561273 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 · 3017710
1500 JAMES SIMPSON JR WAY, Covington, KY 41011

Accepted 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

Shelby Maureen Klingensmith Aprn-cnp, Pmhnp-bc 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 ID2668850280
PECOS Enrollment IDI20220609001274
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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.

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.

Internal Medicine (Cardiovascular Disease)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Dietitian, Registered
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Podiatrist (Foot Surgery)
1500 JAMES SIMPSON JR WAY, SUITE 302
COVINGTON, KY 41011
Dietitian, Registered
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Family Medicine
1500 JAMES SIMPSON JR WAY, STE 201
COVINGTON, KY 41011
Physical Therapy Assistant
1500 JAMES SIMPSON JR WAY, PHYSICAL THERAPY
COVINGTON, KY 41011
Physical Therapist
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Physical Therapist
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104561273, enumerated as an "individual" on May 03, 2022.

The provider is located at 1500 JAMES SIMPSON JR WAY COVINGTON, KY 41011 and the phone number is (859) 301-5901.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Shelby Klingensmith is affiliated with: ST ELIZABETH EDGEWOOD.