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SHAWNA M MATT APRN
NPI 1609498427
Nurse Practitioner - Family in Bardstown, KY

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004(502) 331-4734(270) 706-5802 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2021, May 14, 2020 (2 updates tracked since 2020).

About Shawna M Matt Aprn NPPES

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

SHAWNA M MATT APRN (NPI 1609498427) is an individual family provider in Bardstown, Kentucky, licensed in Kentucky (3014102) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609498427
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNA M MATTCredential: APRN
Location Address3615 E JOHN ROWAN BLVD STE 104Bardstown, KY 40004-3264
Mailing Address6603 Leven CtLouisville, KY 40229-2378 · (502) 551-3762
Phone(502) 331-4734
Fax(270) 706-5802
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 14, 2020
Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1609498427 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 · 3014102
3615 E JOHN ROWAN BLVD STE 104, Bardstown, KY 40004
Open in Google Maps ↗

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

Shawna M Matt 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 ID4284048562
PECOS Enrollment IDI20210127002707
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 3

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 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.
64 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40004 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

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.

BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
MS. HEATHER BOONE
Nurse Practitioner (Family)
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
DAVID SINDLER M.D.
Family Medicine
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
SUSAN REDDICK APRN
Nurse Practitioner (Family)
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
JACOB WILLIAM VINCENT MD
Family Medicine
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
DR. MANDY SUE SHELLEY DO
Family Medicine
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
BRIANNA MONIN
Nurse Practitioner (Family)
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
KALISTA J HUGHES M.D.
Internal Medicine
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 40004
Nelson County (502) 348-5968

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 Shawna Matt's NPI number?

The NPI number for Shawna Matt is 1609498427. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Shawna Matt located?

Shawna Matt practices at 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004. The listed phone number is (502) 331-4734.

What is Shawna Matt's specialty?

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

Is Shawna Matt enrolled in Medicare?

Yes. Shawna Matt 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 Shawna Matt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Shawna Matt 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 Shawna Matt was last updated on March 29, 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.