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SHEILA THRONEBERRY A.R.N.P.
NPI 1932148897
Nurse Practitioner - Family in Louisville, KY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2355 POPLAR LEVEL RD, STE. 301, LOUISVILLE, KY 40217(502) 636-0406(502) 636-5137 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 15, 2021, Jan 22, 2021, Jun 21, 2016 (3 updates tracked since 2016).

About Sheila Throneberry A.r.n.p. NPPES

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

SHEILA THRONEBERRY A.R.N.P. (NPI 1932148897) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3003436) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1932148897
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA THRONEBERRYCredential: A.R.N.P.
Location Address2355 POPLAR LEVEL RD, STE. 301Louisville, KY 40217-1395
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5395 · Fax (502) 272-5339
Phone(502) 636-0406
Fax(502) 636-5137
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 15, 20213 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1932148897 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 · 3003436
2355 POPLAR LEVEL RD, Louisville, KY 40217
Open in Google Maps ↗

Other Identifiers 4

OtherP400033806KY · Medicare
Other000000346469KY · Anthem Bcbs
Medicaid78007374KY
OtherK167152KY · Ncma Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Sheila Throneberry A.r.n.p. 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 ID6800859257
PECOS Enrollment IDI20041108000467
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 5

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 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.
300 services133 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
231 services119 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
120 services56 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.
72 services58 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
45 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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.

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

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers36 claims452 services$18.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers36 claims1,130 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
5 suppliers31 claims31 services$171.23 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
54 suppliers209 claims670 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers74 claims95 services$1.05 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers31 claims31 services$285.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACOB NUNAMAKER V
Physician Assistant
2355 POPLAR LEVEL RD
LOUISVILLE, KY 40217
Jefferson County (502) 891-8300
JOAN LOEFFLER MABE AUD
Audiologist
2355 POPLAR LEVEL RD, SUITE 400
LOUISVILLE, KY 40217
Jefferson County (502) 459-3760
ABDULLA A ATTUM MD PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2355 POPLAR LEVEL RD, SUITE 305
LOUISVILLE, KY 40217
Jefferson County (502) 634-0007
DAVID N CATLETT MD
Family Medicine
2355 POPLAR LEVEL RD, SUITE 200
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
DAVID M HOLLAND M.D.
General Practice
2355 POPLAR LEVEL RD, STE. 200-A
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
JOHN A LACH JR. MD
Family Medicine
2355 POPLAR LEVEL RD, STE. 200-A
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
ANTHONY HUBBUCH M.D.
Family Medicine
2355 POPLAR LEVEL RD, STE. 200-A
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
DR. TERENCE J HADLEY M.D.
Internal Medicine (Hematology & Oncology)
2355 POPLAR LEVEL RD, SUITE 405
LOUISVILLE, KY 40217
Jefferson County (502) 272-5754

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 Sheila Throneberry's NPI number?

The NPI number for Sheila Throneberry is 1932148897. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Sheila Throneberry located?

Sheila Throneberry practices at 2355 Poplar Level Rd Ste. 301, Louisville, KY 40217. The listed phone number is (502) 636-0406.

What is Sheila Throneberry's specialty?

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

Is Sheila Throneberry enrolled in Medicare?

Yes. Sheila Throneberry 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 Sheila Throneberry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sheila Throneberry 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 Sheila Throneberry was last updated on April 15, 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.