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DAVID E SHELTON APRN
NPI 1669442562
Nurse Practitioner - Family in Bardstown, KY

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
118 PATRIOT DRIVE, SUITE 103, BARDSTOWN, KY 40004(502) 331-9503(502) 331-0334 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David E Shelton Aprn NPPES

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

DAVID E SHELTON APRN (NPI 1669442562) is an individual family provider in Bardstown, Kentucky, licensed in Kentucky (3004746) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Saint Joseph Health -flaget Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1669442562
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID E SHELTONCredential: APRN
Location Address118 PATRIOT DRIVE, SUITE 103Bardstown, KY 40004-9094
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 585-4321 · Fax (502) 566-6338
Phone(502) 331-9503
Fax(502) 331-0334
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 20, 2018
✔ NPI 1669442562 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 KY · 3004746
118 PATRIOT DRIVE, Bardstown, KY 40004
Open in Google Maps ↗

Other Identifiers 2

Medicaid78015898KY
OtherP00283050KY · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

David E Shelton 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 ID749207231
PECOS Enrollment IDI20051024000933
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
543 services399 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
307 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
255 services212 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 6

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

HOLDAWAY MEDICAL SERVICES, LLC
Durable Medical Equipment & Medical Supplies
118 PATRIOT DRIVE, SUITE 101
BARDSTOWN, KY 40004
Nelson County (502) 349-0402
ANDERSON & BOWLDS PLLC
Surgery
118 PATRIOT DRIVE, #203
BARDSTOWN, KY 40004
Nelson County (502) 348-5588
DR. BASIM KAHLEIFEH M.D.
Obstetrics & Gynecology
118 PATRIOT DRIVE, SUITE 202
BARDSTOWN, KY 40004
Nelson County (502) 348-8100
ANNANDLEE, PLLC
Emergency Medicine
118 PATRIOT DRIVE, SUITE 102
BARDSTOWN, KY 40004
Nelson County (502) 350-1022
BARDSTOWN WOMENS HEALTH CARE LLC
Obstetrics & Gynecology
118 PATRIOT DRIVE, SUITE 202
BARDSTOWN, KY 40004
Nelson County (502) 348-8100
CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Internal Medicine (Cardiovascular Disease)
118 PATRIOT DRIVE, SUITE 103
BARDSTOWN, KY 40004
Nelson County (502) 331-9503

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 David Shelton's NPI number?

The NPI number for David Shelton is 1669442562. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is David Shelton located?

David Shelton practices at 118 Patriot Drive Suite 103, Bardstown, KY 40004. The listed phone number is (502) 331-9503.

What is David Shelton's specialty?

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

Is David Shelton enrolled in Medicare?

Yes. David Shelton 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.

What insurance does David Shelton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list David Shelton 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 David Shelton affiliated with any hospitals?

According to CMS data, David Shelton is affiliated with Chi Saint Joseph Health -Flaget Memorial Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for David Shelton was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.