TINA SHELTON-COOMER APRN
NPI 1821569393
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Q: What is Tina Shelton-coomer's NPI number?

The NPI number for Tina Shelton-coomer is 1821569393. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Tina Shelton-coomer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 10, 2018PECOS EnrolledAccepts Medicare Assignment

1030 MONARCH ST STE 100, LEXINGTON, KY 40513(216) 468-5000 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Dec 10, 2018 (2 updates tracked since 2018).

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About Tina Shelton-coomer Aprn NPPES

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

TINA SHELTON-COOMER APRN (NPI 1821569393) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3012895) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821569393

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTINA SHELTON-COOMERCredential: APRN

Location Address1030 MONARCH ST STE 100Lexington, KY 40513-1820

Mailing Address10200 Alliance Rd Ste 150Blue Ash, OH 45242-4754 · (139) 754-6743

Phone(216) 468-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 10, 2018

Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2021

✔ NPI 1821569393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3012895

1030 MONARCH ST STE 100, Lexington, KY 40513

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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

Tina Shelton-coomer 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 ID9931445780

PECOS Enrollment IDI20190115002896

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 40513 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.

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Other Providers at the Same Location NPPES 14

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

LARISSA FLINT LCSW

Social Worker (Clinical)