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SHANE M HIRST CNM
NPI 1417934621
Advanced Practice Midwife in Mount Sterling, KY

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
635 MAYSVILLE RD # A, MOUNT STERLING, KY 40353(859) 498-2323(859) 498-7314 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2020, Feb 26, 2020 (2 updates tracked since 2020).

About Shane M Hirst Cnm NPPES

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

SHANE M HIRST CNM (NPI 1417934621) is an individual advanced practice midwife in Mount Sterling, Kentucky, licensed in Kentucky (3014355) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Muncie, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417934621
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSHANE M HIRSTCredential: CNM
Location Address635 MAYSVILLE RD # AMount Sterling, KY 40353-9767
Mailing Address236 W Main StMount Sterling, KY 40353-1348 · (859) 404-7686 · Fax (859) 274-4312
Phone(859) 498-2323
Fax(859) 498-7314
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 29, 2005
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1417934621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in KY · 3014355
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 28140700A (IN), 09000117A (IN)
635 MAYSVILLE RD # A, Mount Sterling, KY 40353
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Secondary Practice Location 1

Location 1210 N Tillotson AveMuncie, IN 47304-3988 · Phone (765) 286-3900 · Fax (765) 281-4299

Other Identifiers 3

Other000000377880IN · Anthem
Medicaid200524620IN
Medicaid7100659380KY

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

Shane M Hirst Cnm 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 ID5294765947
PECOS Enrollment IDI20050812000863, I20200423003424
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 Shane Hirst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sterling Health Solutions, Inc
Same address
Federally Qualified Health Center (FQHC)
633 MAYSVILLE RD
Mount Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
NPI 1366790099 (859) 404-7686
Community Medical Associates, Inc.
90 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40353 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
$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.

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 Shane Hirst's NPI number?

The NPI number for Shane Hirst is 1417934621. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Shane Hirst located?

Shane Hirst practices at 635 Maysville Rd # A, Mount Sterling, KY 40353. The listed phone number is (859) 498-2323.

What is Shane Hirst's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Shane Hirst enrolled in Medicare?

Yes. Shane Hirst 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 Shane Hirst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Hirst reassigns Medicare benefits to 2 organizations: Sterling Health Solutions, Inc (Mount Sterling, KY) and Community Medical Associates, Inc. (Louisville, 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 Shane Hirst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Hirst accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Shane Hirst 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.

When was this NPI record last updated?

The NPPES record for Shane Hirst was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.