1. Home
  2. Directory
  3. Kentucky
  4. Morgantown
  5. Nurse Practitioner
  6. NPI Profile

SHAYE TOMBLINSON FNP-C
NPI 1669107538
Nurse Practitioner - Family in Morgantown, KY

Active since July 23, 2022PECOS EnrolledAccepts Medicare Assignment
263 HUNTSVILLE QUALITY RD, MORGANTOWN, KY 42261(270) 516-1601 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Jun 12, 2023, May 17, 2023 and 3 more (6 updates tracked since 2022).

About Shaye Tomblinson Fnp-c NPPES

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

SHAYE TOMBLINSON FNP-C (NPI 1669107538) is an individual family provider in Morgantown, Kentucky, licensed in Kentucky (3017925) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669107538
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAYE TOMBLINSONCredential: FNP-C
Location Address263 HUNTSVILLE QUALITY RDMorgantown, KY 42261-7395
Mailing Address263 Huntsville Quality RdMorgantown, KY 42261-7395 · (270) 516-1601 · Fax (270) 934-2108
Phone(270) 516-1601
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 23, 2022
Last NPPES UpdateJanuary 4, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1669107538 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
Licenses✔ Licensed in KY · 3017925✔ Licensed in SC · 26201
263 HUNTSVILLE QUALITY RD, Morgantown, KY 42261
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter Health and more.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

Shaye Tomblinson Fnp-c 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 ID1557747730
PECOS Enrollment IDI20240716002334
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Shaye Tomblinson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Health Corporation, Inc.
25 mi
Orthopaedic Surgery
1623 NASHVILLE ST STE 102103
Russellville, KY 42276
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1558107433 (270) 725-4862
Eventus Ecs - Kentucky, PLLC
141 mi
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 66 clinicians in this Medicare group
NPI 1396563276 (855) 743-2247
Eventus Wholehealth Midwest Inc
150 mi
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Kentucky enrollment
  • 114 clinicians in this Medicare group
NPI 1386252757 (260) 483-9081
Eventus Ecs, Inc
183 mi
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Kentucky enrollment
  • 86 clinicians in this Medicare group
NPI 1073353496 (855) 743-2247
Extended Care Specialists, Inc
296 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Kentucky enrollment
  • 145 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247
Eventus Wh Midwest Care, LLC
372 mi
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
NPI 1588481717 (855) 743-2247

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 11

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
317 services96 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
187 services93 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
182 services88 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
127 services60 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
69 services50 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
59 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42261 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

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

MADISON ALEXANDER
Counselor (Mental Health)
263 HUNTSVILLE QUALITY RD
MORGANTOWN, KY 42261
Butler County (270) 934-2024

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 Shaye Tomblinson's NPI number?

The NPI number for Shaye Tomblinson is 1669107538. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Shaye Tomblinson located?

Shaye Tomblinson practices at 263 Huntsville Quality Rd, Morgantown, KY 42261. The listed phone number is (270) 516-1601.

What is Shaye Tomblinson's specialty?

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

Is Shaye Tomblinson enrolled in Medicare?

Yes. Shaye Tomblinson 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 organizations bill Medicare for Shaye Tomblinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaye Tomblinson reassigns Medicare benefits to 6 organizations: Commonwealth Health Corporation, Inc. (Russellville, KY), Eventus Ecs - Kentucky, PLLC (Lexington, KY), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN) and 1 more organization, listed in the Medicare section above. 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 Shaye Tomblinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaye Tomblinson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Shaye Tomblinson 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 Shaye Tomblinson was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.