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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tina Shelton-coomer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychmind Counseling And Psychiatry LLC
23 mi
Psychiatry
950 RED HOUSE RD
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 19 clinicians in this Medicare group
NPI 1184337412 (859) 328-2473
Family Practice Clinic Of Booneville, Inc.
61 mi
Rural Health
200 MULBERRY ST, SUITE A
Booneville, KY 41314
  • Reassigned Medicare billing, Kentucky enrollment
  • 41 clinicians in this Medicare group
NPI 1326152109 (606) 593-6023
Mountain Family Practice Clinic Of Manchester Inc
73 mi
Rural Health
108 MANCHESTER SQ SHOPPING CENTER
Manchester, KY 40962
  • Reassigned Medicare billing, Kentucky enrollment
  • 42 clinicians in this Medicare group
NPI 1689919078 (606) 596-0701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 20

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

LARISSA FLINT LCSW
Social Worker (Clinical)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (859) 296-3141
MADISON ELIZABETH MCKENZIE LCSW
Social Worker (Clinical)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (216) 468-5000
LUCAS M TODD
Social Worker
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (888) 585-8434
CHERYL MARRS
Nurse Practitioner (Psychiatric/Mental Health)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (844) 889-2929
MR. BERRAC J STRODE LCSW
Social Worker (Clinical)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (216) 468-5000
JENNIFER KAY MCPEEK APRN
Nurse Practitioner (Psychiatric/Mental Health)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (859) 296-3141
DEBORAH GOAD LMFT
Marriage & Family Therapist
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (859) 296-3141
TRISTAN RILEY BARNEY PSY.D.
Psychologist (Clinical)
1030 MONARCH ST STE 100
LEXINGTON, KY 40513
Fayette County (216) 468-5000

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 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.

Where is Tina Shelton-coomer located?

Tina Shelton-coomer practices at 1030 Monarch St Ste 100, Lexington, KY 40513. The listed phone number is (216) 468-5000.

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.

Is Tina Shelton-coomer enrolled in Medicare?

Yes. Tina Shelton-coomer 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 Tina Shelton-coomer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Shelton-coomer reassigns Medicare benefits to 3 organizations: Psychmind Counseling And Psychiatry LLC (Richmond, KY), Family Practice Clinic Of Booneville, Inc. (Booneville, KY) and Mountain Family Practice Clinic Of Manchester Inc (Manchester, KY). 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 Tina Shelton-coomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Shelton-coomer accept?

Health plans from Anthem Blue Cross and Blue Shield list Tina Shelton-coomer 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 Tina Shelton-coomer was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.