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SHELBY NICHOLE CRISP
NPI 1902375868
Counselor - Mental Health in Nicholasville, KY

Active since November 20, 2018PECOS EnrolledAccepts Medicare Assignment
504 N MAIN ST STE B, NICHOLASVILLE, KY 40356(859) 759-1223(859) 759-0970 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, Nov 20, 2018 (2 updates tracked since 2018).

About Shelby Nichole Crisp NPPES

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

SHELBY NICHOLE CRISP (NPI 1902375868) is an individual mental health provider in Nicholasville, Kentucky and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902375868
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELBY NICHOLE CRISP
Location Address504 N MAIN ST STE BNicholasville, KY 40356-1125
Mailing Address504 N Main St Ste BNicholasville, KY 40356-1125 · (859) 759-1223 · Fax (859) 759-0970
Phone(859) 759-1223
Fax(859) 759-0970
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 20, 2018
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1902375868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
504 N MAIN ST STE B, Nicholasville, KY 40356
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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

Shelby Nichole Crisp 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 ID4587007869
PECOS Enrollment IDI20240205001145
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.

Other Providers at the Same Location NPPES 2

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

SAMANTHA LEE WILSON LPCC
Counselor (Professional)
504 N MAIN ST STE B
NICHOLASVILLE, KY 40356
Jessamine County (859) 707-5368
COMFORT HOLD DENTURES LLC
Dentist (General Practice)
504 N MAIN ST STE B
NICHOLASVILLE, KY 40356
Jessamine County (859) 885-0070

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 Shelby Crisp's NPI number?

The NPI number for Shelby Crisp is 1902375868. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Shelby Crisp located?

Shelby Crisp practices at 504 N Main St Ste B, Nicholasville, KY 40356. The listed phone number is (859) 759-1223.

What is Shelby Crisp's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shelby Crisp enrolled in Medicare?

Yes. Shelby Crisp 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 Shelby Crisp was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.