LAREE SHIVELY APRN
NPI 1487261228
Nurse Practitioner - Family in Campbellsville, KY

Q: What is Laree Shively's NPI number?

The NPI number for Laree Shively is 1487261228. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Q: What is Laree Shively's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laree Shively was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment

73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718(270) 849-2379 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2020, Sep 25, 2020 (2 updates tracked since 2020).

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About Laree Shively Aprn NPPES

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

LAREE SHIVELY APRN (NPI 1487261228) is an individual family provider in Campbellsville, Kentucky, licensed in Kentucky (3015305) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487261228

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAREE SHIVELYCredential: APRN

Location Address73 KINGSWOOD DRCampbellsville, KY 42718-9604

Mailing Address1700 Old Lebanon RdCampbellsville, KY 42718-9615 · (270) 465-3561

Phone(270) 849-2379

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 25, 2020

Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1487261228 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 · 3015305

73 KINGSWOOD DR, Campbellsville, KY 42718

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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

Laree Shively 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 ID4981015278

PECOS Enrollment IDI20201117001610

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

103 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services17 patients

Hospital Affiliations CMS Care Compare

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42718 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 9

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

TAYLOR REGIONAL MEDICAL GROUP LLC

Clinic/Center (Rural Health)