SHEENA MCGUFFEY ACNP
NPI 1609548965
Nurse Practitioner - Family in Danville, KY
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, maintains 3 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sheena Mcguffey Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sheena Mcguffey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 247 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Sheena Mcguffey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Mcguffey reassigns Medicare benefits to 2 organizations: Ephraim Mcdowell Health Resource, Inc (Danville, KY) and Fairview Heights Medical Group Sc (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheena Mcguffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheena Mcguffey accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan 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.
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.
# Sheena Mcguffey, ACNP · NPI 1609548965
Family physician in Danville, Kentucky. Individual provider, active in the CMS NPPES registry since October 4, 2021.
## Identity
- **NPI:** 1609548965 (Entity type: Individual)
- **Enumerated:** October 4, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3018290 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 PONDER CT STE 104, Danville, KY 40422-9050
- **Phone:** (859) 236-4852
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ephraim Mcdowell Health Resource, Inc (NPI 1669803375, Danville, KY); Fairview Heights Medical Group Sc (NPI 1679503668, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609548965) · Data from the CMS NPPES public registry.