MS. TORI SHAAK-JOHNSTON APRN
NPI 1174307623
Nurse Practitioner in Louisville, KY

Q: What is Tori Shaak-johnston's NPI number?

The NPI number for Tori Shaak-johnston is 1174307623. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Q: What is Tori Shaak-johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 23, 2023PECOS EnrolledAccepts Medicare Assignment

4003 KRESGE WAY STE 400, LOUISVILLE, KY 40207(502) 895-7265 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2024, Aug 23, 2023 (2 updates tracked since 2023).

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About Ms. Tori Shaak-johnston Aprn NPPES

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

MS. TORI SHAAK-JOHNSTON APRN (NPI 1174307623) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (4022441) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174307623

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. TORI SHAAK-JOHNSTONCredential: APRN

Location Address4003 KRESGE WAY STE 400Louisville, KY 40207-4652

Mailing Address1901 Campus PlLouisville, KY 40299-2308

Phone(502) 895-7265

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 23, 2023

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1174307623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 4022441

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4003 KRESGE WAY STE 400, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Ms. Tori Shaak-johnston Aprn 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 ID9032642442

PECOS Enrollment IDI20241023004430

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.

Medicare Billing Reassignment

Medicare enrollment records show Tori Shaak-johnston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

Same address

Internal Medicine

4003 KRESGE WAY, SUITE 410
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
1,441 clinicians in this Medicare group

NPI 1336572601 (502) 893-7462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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 12

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

JONATHAN WILLIAM HANDSHOE MD

Psychiatry & Neurology (Neurology)