DR. MANDY SUE SHELLEY DO
NPI 1629710397
Family Medicine in Bardstown, KY

Q: What is Mandy Shelley's NPI number?

The NPI number for Mandy Shelley is 1629710397. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Mandy Shelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Shelley was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment

3615 E JOHN ROWAN BLVD STE 104, BARDSTOWN, KY 40004(502) 348-5968(270) 706-5802 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Apr 12, 2022 (2 updates tracked since 2022).

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About Dr. Mandy Sue Shelley Do NPPES

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

DR. MANDY SUE SHELLEY DO (NPI 1629710397) is an individual family medicine provider in Bardstown, Kentucky, licensed in Kentucky (06008) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629710397

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MANDY SUE SHELLEYCredential: DO

Location Address3615 E JOHN ROWAN BLVD STE 104Bardstown, KY 40004-3264

Mailing Address366 Raders Valley RdWilliamsburg, WV 24991-7008 · (502) 348-5968

Phone(502) 348-5968

Fax(270) 706-5802

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 12, 2022

Last NPPES UpdateJune 2, 20252 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1629710397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 06008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3615 E JOHN ROWAN BLVD STE 104, Bardstown, KY 40004

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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

Dr. Mandy Sue Shelley Do 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 ID3971014549

PECOS Enrollment IDI20250619001980

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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180025

Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County

Emergency services Birthing friendly

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.

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)