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JOHNNY R SHUPE APRN
NPI 1659495356
Nurse Practitioner - Family in Duffield, VA

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
373 CECIL D QUILLEN DR, SUITE 101, DUFFIELD, VA 24244(276) 431-1638(276) 431-1639 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnny R Shupe Aprn NPPES

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

JOHNNY R SHUPE APRN (NPI 1659495356) is an individual family provider in Duffield, Virginia, licensed in Virginia (0024151769) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1993).

NPPES Registry Identity

NPI1659495356
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNNY R SHUPECredential: APRN
Location Address373 CECIL D QUILLEN DR, SUITE 101Duffield, VA 24244-4085
Mailing Address3609 Hemlock Park DrKingsport, TN 37663-2063 · (423) 239-3431
Phone(276) 431-1638
Fax(276) 431-1639
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1993
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 12, 2009
✔ NPI 1659495356 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 VA · 0024151769
373 CECIL D QUILLEN DR, Duffield, VA 24244
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedC08199VA · Grp. Provider Number
Medicare ID-Type Unspecified003218R99VA · Ind. Provider Number
Medicaid007790741VA

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

Johnny R Shupe 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 ID8628960473
PECOS Enrollment IDI20140204000389
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24244 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims28 services$6.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$110.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

GAIL R FEAGINS LCSW
Social Worker (Clinical)
373 CECIL D QUILLEN DR, STE 101
DUFFIELD, VA 24244
Scott County (276) 431-1638
REGIONAL HEALTH RESOURCES, INC
Clinic/Center (Primary Care)
373 CECIL D QUILLEN DR, SUITE 101
DUFFIELD, VA 24244
Scott County (276) 431-1638
REGIONAL HEALTH RESOURCES INC
Clinic/Center (Rural Health)
373 CECIL D QUILLEN DR, SUITE 101
DUFFIELD, VA 24244
Scott County (276) 431-1638

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 Johnny Shupe's NPI number?

The NPI number for Johnny Shupe is 1659495356. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Johnny Shupe located?

Johnny Shupe practices at 373 Cecil D Quillen Dr Suite 101, Duffield, VA 24244. The listed phone number is (276) 431-1638.

What is Johnny Shupe's specialty?

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

Is Johnny Shupe enrolled in Medicare?

Yes. Johnny Shupe 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.

When was this NPI record last updated?

The NPPES record for Johnny Shupe was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.