SHAWN A BILLINGSLEY
NPI 1508530734
Nurse Practitioner - Family in Cookeville, TN

Active since August 02, 2021PECOS Enrolled
56.27/100
CMS Quality Rating
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501(931) 528-2531(931) 526-7451 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Feb 16, 2023, Aug 2, 2021 (3 updates tracked since 2021).

About Shawn A Billingsley NPPES

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

SHAWN A BILLINGSLEY (NPI 1508530734) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (30019) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508530734
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWN A BILLINGSLEY
Location Address701 COUNTY SERVICES DRCookeville, TN 38501-4338
Mailing Address1100 England DrCookeville, TN 38501-0924 · (931) 520-4466
Fax(931) 526-7451
Sole ProprietorNo
Enumeration DateAugust 2, 2021
Last NPPES UpdateMay 1, 20253 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
NPI 1508530734 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 TN · 30019
701 COUNTY SERVICES DR, Cookeville, TN 38501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shawn A Billingsley 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.

Areas of Expertise CMS Part B claims 23

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.
239 services180 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.
161 services123 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
128 services104 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
91 services77 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
91 services78 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
60 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40
Improvement Activities40
Cost34.24

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$6.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Nurse Practitioner (Primary Care)
701 COUNTY SERVICES DR, PUTNAM COUNTY HEALTH DEPARTMENT
COOKEVILLE, TN 38501
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501

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 Shawn Billingsley's NPI number?

The NPI number for Shawn Billingsley is 1508530734. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Shawn Billingsley located?

Shawn Billingsley practices at 701 County Services Dr, Cookeville, TN 38501. The listed phone number is (931) 528-2531.

What is Shawn Billingsley's specialty?

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

Is Shawn Billingsley enrolled in Medicare?

Yes. Shawn Billingsley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Billingsley was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.