DR. MANDY SUE SHELLEY DO
NPI 1629710397
Family Medicine in Bardstown, KY
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mandy Shelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bardstown, KY 40004
- Reassigned Medicare billing, Kentucky enrollment
- 1,441 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.
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, KYChi Saint Joseph Health -Flaget Memorial Hospital
Acute Care Hospitals · Bardstown, KYPhysician 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.
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.
BARDSTOWN, KY 40004
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 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.
Where is Mandy Shelley located?
Mandy Shelley practices at 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004. The listed phone number is (502) 348-5968.
What is Mandy Shelley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mandy Shelley enrolled in Medicare?
Yes. Mandy Shelley 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.
Which organization bills Medicare for Mandy Shelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Shelley reassigns Medicare benefits to Baptist Health Medical Group Inc (Bardstown, KY). The 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 Mandy Shelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Shelley accept?
Health plans from Anthem Blue Cross and Blue Shield list Mandy Shelley 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 Mandy Shelley affiliated with any hospitals?
According to CMS data, Mandy Shelley is affiliated with Baptist Health Hardin and Chi Saint Joseph Health -Flaget Memorial Hospital.
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 17 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.
# Dr. Mandy Sue Shelley, DO · NPI 1629710397
Family Medicine physician in Bardstown, Kentucky. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1629710397 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 06008 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3615 E JOHN ROWAN BLVD STE 104, Bardstown, KY 40004-3264
- **Phone:** (502) 348-5968 · **Fax:** (270) 706-5802
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baptist Health Medical Group Inc (NPI 1194320630, Bardstown, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629710397) · Data from the CMS NPPES public registry.