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SHANNON KELLY EVANS
NPI 1487953675
Pediatrics - Neonatal-Perinatal Medicine in Louisville, KY

Active since March 28, 2011PECOS Enrolled
4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207(802) 847-2700 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2024, Jul 21, 2022, Jul 10, 2017 (3 updates tracked since 2017).

About Shannon Kelly Evans NPPES

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

SHANNON KELLY EVANS (NPI 1487953675) is an individual neonatal-perinatal medicine provider in Louisville, Kentucky, licensed in Kentucky (50218) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487953675
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSHANNON KELLY EVANS
Location Address4123 DUTCHMANS LN STE 301Louisville, KY 40207-4721
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2700
Phone(802) 847-2700
Sole ProprietorNo
Enumeration DateMarch 28, 2011
Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1487953675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in KY · 50218
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 042.0012902 (VT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4123 DUTCHMANS LN STE 301, Louisville, KY 40207
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Other Names 1

Former Name (1)Shannon Kelly Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Shannon Kelly Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shannon Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
3.6 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Norton Children's Medical Group, LLC
5.9 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

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.

MRS. EMILY STORMS SHUTT APRN
Nurse Practitioner (Acute Care)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 891-8300
SYNTHIA HEFFERNAN APRN
Nurse Practitioner
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
CRYSTAL D CASSITY O.T.R.L.
Occupational Therapist (Pediatrics)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
KETAN C MEHTA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
KIMBERLY DAWN WALKER DNP, RN, CPNP-PC
Nurse Practitioner
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
JENNIFER L KIEL APRN
Nurse Practitioner (Family)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
MRS. SHERRI LYNN LAMMERDING APRN, NNP-BC
Nurse Practitioner (Neonatal)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
CYNTHIA SUE CRABTREE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500

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 Shannon Evans's NPI number?

The NPI number for Shannon Evans is 1487953675. It was assigned to this individual provider in the NPPES registry on March 28, 2011. The provider is also known as Shannon Kelly MD.

Where is Shannon Evans located?

Shannon Evans practices at 4123 Dutchmans Ln Ste 301, Louisville, KY 40207. The listed phone number is (802) 847-2700.

What is Shannon Evans's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shannon Evans enrolled in Medicare?

Yes. Shannon Evans is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Evans reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (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 Shannon Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Shannon Evans 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 Shannon Evans was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.