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DR. JACQUELINE KHRISTEN BASHAM MD
NPI 1396709671
Obstetrics & Gynecology in Shelbyville, KY

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
140 STONECREST RD, SHELBYVILLE, KY 40065(502) 633-0094(502) 633-0033 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacqueline Khristen Basham Md NPPES

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

DR. JACQUELINE KHRISTEN BASHAM MD (NPI 1396709671) is an individual obstetrics & gynecology provider in Shelbyville, Kentucky, licensed in Kentucky (30475) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1396709671
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACQUELINE KHRISTEN BASHAMCredential: MD
Location Address140 STONECREST RDShelbyville, KY 40065-8142
Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 253-1035 · Fax (502) 253-1037
Phone(502) 633-0094
Fax(502) 633-0033
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1396709671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 30475
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
140 STONECREST RD, Shelbyville, KY 40065
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Other Identifiers 5

Other000000204621KY · Anthem
Medicaid64304751KY
Other000000204606KY · Anthem
Medicare UPING25160KY
Medicare ID-Type Unspecified0685203KY

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

Dr. Jacqueline Khristen Basham Md 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 ID7719144310
PECOS Enrollment IDI20120209000670
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 40065 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 7

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

MRS. ASHLYN DELANEY MARTIN PA-C
Physician Assistant
140 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 928-1060
DR. ANITA ROSE KOTHEIMER MD
Obstetrics & Gynecology
140 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-0094
DR. DENISE J BRUNEAU MD
Obstetrics & Gynecology
140 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-0094
LEAH LACY PT, DPT
Physical Therapist
140 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 647-1025
LAURA P WHITE M.D.
Pediatrics
140 STONECREST RD, STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 633-6411
FUTURE HOPE PEDIATRICS
Pediatrics
140 STONECREST RD, SUITE 101
SHELBYVILLE, KY 40065
Shelby County (502) 633-6411
DR. HEATH E BROWN M.D.
Obstetrics & Gynecology
140 STONECREST RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-0094

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 Jacqueline Basham's NPI number?

The NPI number for Jacqueline Basham is 1396709671. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Jacqueline Basham located?

Jacqueline Basham practices at 140 Stonecrest Rd, Shelbyville, KY 40065. The listed phone number is (502) 633-0094.

What is Jacqueline Basham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Basham enrolled in Medicare?

Yes. Jacqueline Basham 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Basham was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.