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

Q: 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.

Q: What is Shannon Evans's specialty?

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

Q: 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 21 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.

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: August 09, 2026.

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

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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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)