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MRS. SHERELENE SCOTT FORTNEY ARNP
NPI 1578549036
Nurse Practitioner in Barbourville, KY

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
602 KNOX ST, BARBOURVILLE, KY 40906(606) 546-6027(606) 546-2084 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Sherelene Scott Fortney Arnp NPPES

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

MRS. SHERELENE SCOTT FORTNEY ARNP (NPI 1578549036) is an individual nurse practitioner in Barbourville, Kentucky, licensed in Kentucky (3003035) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1578549036
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHERELENE SCOTT FORTNEYCredential: ARNP
Location Address602 KNOX STBarbourville, KY 40906-1304
Mailing Address602 Knox StBarbourville, KY 40906-1304 · (606) 546-6027 · Fax (606) 546-2084
Phone(606) 546-6027
Fax(606) 546-2084
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 16, 2005
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1578549036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3003035
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
602 KNOX ST, Barbourville, KY 40906
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Other Identifiers 3

Other000000360923KY · Bcbs
OtherP01132666KY · Railroad Medicare Ptan
Medicaid78011335KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Mrs. Sherelene Scott Fortney Arnp 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 ID5092991109
PECOS Enrollment IDI20110525000085
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

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.

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.
26 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers55 claims124 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims19 services$1.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$7.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$180.53 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 14

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

PAUL CHRISTEN PEDERSEN M.D.
General Practice
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MICHELLE LOUISE BROUGHTON APRN
Nurse Practitioner
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
AMANDA L HERRELL DO
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MR. JAMES RADFORD WEST JR. M.D.
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MRS. CYNTHIA GOODIN APRN
Nurse Practitioner (Family)
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
KATHLEEN P. FLYNN PA-C
Physician Assistant
602 KNOX ST, KNOX FAMILY MEDICINE
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MRS. ANNE HUI PEDERSEN P.T.
Physical Therapist
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027

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 Sherelene Fortney's NPI number?

The NPI number for Sherelene Fortney is 1578549036. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Sherelene Fortney located?

Sherelene Fortney practices at 602 Knox St, Barbourville, KY 40906. The listed phone number is (606) 546-6027.

What is Sherelene Fortney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sherelene Fortney enrolled in Medicare?

Yes. Sherelene Fortney 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.

What insurance does Sherelene Fortney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Sherelene Fortney 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.

Is Sherelene Fortney affiliated with any hospitals?

According to CMS data, Sherelene Fortney is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Sherelene Fortney was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.