SHEENA MCGUFFEY ACNP
NPI 1609548965
Nurse Practitioner - Family in Danville, KY

Q: What is Sheena Mcguffey's NPI number?

The NPI number for Sheena Mcguffey is 1609548965. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Sheena Mcguffey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sheena Mcguffey was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 04, 2021PECOS Enrolled

105 PONDER CT STE 104, DANVILLE, KY 40422(859) 236-4852 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, May 10, 2023, Jul 5, 2022 and 1 more (4 updates tracked since 2021).

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About Sheena Mcguffey Acnp NPPES

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

SHEENA MCGUFFEY ACNP (NPI 1609548965) is an individual family provider in Danville, Kentucky, licensed in Kentucky (3018290) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609548965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHEENA MCGUFFEYCredential: ACNP

Location Address105 PONDER CT STE 104Danville, KY 40422-9050

Mailing Address217 S 3rd StDanville, KY 40422-1823 · (859) 239-1000

Phone(859) 236-4852

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 4, 2021

Last NPPES UpdateMay 15, 20234 updates tracked since enumeration

NPPES CertifiedMay 15, 2023

✔ NPI 1609548965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3018290

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2021038564 (MO)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2021038564 (MO)

105 PONDER CT STE 104, Danville, KY 40422

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11935 Belt Way DrSaint Louis, MO 63114-5825 · Phone (314) 362-0200

Location 23009 N Ballas Rd Ste 383CSaint Louis, MO 63131-2324 · Phone (314) 305-1447

Location 33015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 996-5000

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 (PECOS)

Sheena Mcguffey Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002285673

PECOS Enrollment IDI20230615002470

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 2

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

37 services26 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

18 services12 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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.

Other Providers at the Same Location NPPES 4

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

MARY E WHITE APRN

Nurse Practitioner (Family)

105 PONDER CT STE 104
DANVILLE, KY 40422

Boyle County (859) 236-4216

ELIZABETH A RAMSEY PA-C

Physician Assistant (Medical)

105 PONDER CT STE 104
DANVILLE, KY 40422

Boyle County (859) 236-4216

THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC

Family Medicine

105 PONDER CT STE 104
DANVILLE, KY 40422

Boyle County (859) 236-4852

DR. DAVID SCOTT OVERSTREET M.D.

Internal Medicine

105 PONDER CT STE 104
DANVILLE, KY 40422

Boyle County (859) 236-4216

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 Sheena Mcguffey's NPI number?

The NPI number for Sheena Mcguffey is 1609548965. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Sheena Mcguffey located?

Sheena Mcguffey practices at 105 Ponder Ct Ste 104, Danville, KY 40422. The listed phone number is (859) 236-4852.

What is Sheena Mcguffey's specialty?

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

Is Sheena Mcguffey enrolled in Medicare?

Yes. Sheena Mcguffey is registered in the Medicare PECOS enrollment system.

What insurance does Sheena Mcguffey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sheena Mcguffey 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 Sheena Mcguffey affiliated with any hospitals?

According to CMS data, Sheena Mcguffey is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sheena Mcguffey was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.