RISE CLINIC
NPI 1104618073
Clinic/Center - Health Service in Shelbyville, KY
About Rise Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RISE CLINIC (NPI 1104618073) is a healthcare organization registered as a health service in Shelbyville, Kentucky and active in the NPI registry since May 2025. The organization lists Angela D Chisholm, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rise Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rise Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rise Clinic's NPI number?
The NPI number for Rise Clinic is 1104618073. It was assigned to this organization in the NPPES registry on May 19, 2025.
Where is Rise Clinic located?
Rise Clinic is located at 161 Alpine Dr, Shelbyville, KY 40065. The listed phone number is (502) 317-6211.
What is Rise Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Rise Clinic enrolled in Medicare?
Yes. Rise Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rise Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Nurse Midwife (CNM)) reassigns their Medicare billing to Rise Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rise Clinic was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Rise Clinic · NPI 1104618073
Health Service organization in Shelbyville, Kentucky. Organization record, active in the CMS NPPES registry since May 19, 2025.
## Identity
- **NPI:** 1104618073 (Entity type: Organization)
- **Enumerated:** May 19, 2025
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Angela Chisholm, OWNER
## Practice location
- **Address:** 161 ALPINE DR, Shelbyville, KY 40065-8878
- **Phone:** (502) 317-6211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Nurse Midwife (CNM)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
- **Other identifiers:** Medicaid 1457581837 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104618073) · Data from the CMS NPPES public registry.