SHELBY GROVES SHARP
NPI 1255041091
Nurse Practitioner - Family in Elkton, KY

Active since December 02, 2022PECOS EnrolledAccepts Medicare Assignment
810 S MAIN ST, ELKTON, KY 42220(270) 265-5600(270) 265-5605 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Dec 2, 2022 (2 updates tracked since 2022).

About Shelby Groves Sharp NPPES

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

SHELBY GROVES SHARP (NPI 1255041091) is an individual family provider in Elkton, Kentucky, licensed in Kentucky (3018675) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255041091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY GROVES SHARP
Location Address810 S MAIN STElkton, KY 42220-8812
Mailing Address2580 West Jefferson Davis HwyElkton, KY 42220 · (270) 731-7142
Fax(270) 265-5605
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 2, 2022
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1255041091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3018675
810 S MAIN ST, Elkton, KY 42220

Other Identifiers 1

Medicaid7100874290KY

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

Shelby Groves Sharp 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 ID2062885882
PECOS Enrollment IDI20230227000911
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 Reassignments

2

Medicare enrollment records show Shelby Groves Sharp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
810 SOUTH MAIN
Elkton, KY 42220
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
713 W MAIN ST
Elkton, KY 42220
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 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.

Hospital Affiliations CMS Care Compare

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42220 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 13

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

Nurse Practitioner (Family)
810 S MAIN ST
ELKTON, KY 42220
Nurse Practitioner
810 S MAIN ST
ELKTON, KY 42220
Family Medicine
810 S MAIN ST
ELKTON, KY 42220
Family Medicine
810 S MAIN ST
ELKTON, KY 42220
Clinic/Center (Federally Qualified Health Center (FQHC))
810 S MAIN ST
ELKTON, KY 42220
Clinic/Center (Rural Health)
810 S MAIN ST
ELKTON, KY 42220
Nurse Practitioner (Family)
810 S MAIN ST
ELKTON, KY 42220
Nurse Practitioner (Family)
810 S MAIN ST
ELKTON, KY 42220

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 Shelby Groves Sharp's NPI number?

The NPI number for Shelby Groves Sharp is 1255041091. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Where is Shelby Groves Sharp located?

Shelby Groves Sharp practices at 810 S Main St, Elkton, KY 42220. The listed phone number is (270) 265-5600.

What is Shelby Groves Sharp's specialty?

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

Is Shelby Groves Sharp enrolled in Medicare?

Yes. Shelby Groves Sharp 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 Shelby Groves Sharp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Groves Sharp reassigns Medicare benefits to 2 organizations: Helping Hands Health Clinic, Inc (Elkton, KY) and Elkton Clinic Psc (Elkton, 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 Shelby Groves Sharp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Groves Sharp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Shelby Groves Sharp 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.

Is Shelby Groves Sharp affiliated with any hospitals?

According to CMS data, Shelby Groves Sharp is affiliated with Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Groves Sharp was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.