1. Home
  2. Directory
  3. Kentucky
  4. Shepherdsville
  5. Nurse Practitioner
  6. NPI Profile

TRISTEN RENEA REESOR APRN, FNP-C
NPI 1962295212
Nurse Practitioner - Family in Shepherdsville, KY

Active since May 28, 2025PECOS EnrolledAccepts Medicare Assignment
189 ADAM SHEPHERD PKWY STE 14, SHEPHERDSVILLE, KY 40165(502) 531-9823(502) 215-6138 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Sep 15, 2025, May 28, 2025 (3 updates tracked since 2025).

About Tristen Renea Reesor Aprn, Fnp-c NPPES

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

TRISTEN RENEA REESOR APRN, FNP-C (NPI 1962295212) is an individual family provider in Shepherdsville, Kentucky, licensed in Kentucky (4040856) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Washington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962295212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISTEN RENEA REESORCredential: APRN, FNP-C
Location Address189 ADAM SHEPHERD PKWY STE 14Shepherdsville, KY 40165-6579
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Phone(502) 531-9823
Fax(502) 215-6138
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 28, 2025
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1962295212 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 · 4040856
189 ADAM SHEPHERD PKWY STE 14, Shepherdsville, KY 40165
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 Eastbrooke PkwyMount Washington, KY 40047-5600 · Phone (502) 538-3050

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

Tristen Renea Reesor Aprn, Fnp-c 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 ID3072029024
PECOS Enrollment IDI20250717004284
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

2

Medicare enrollment records show Tristen Reesor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kiosk Medicine Kentucky LLC
16 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
360care Services Of Kentucky LLC
20 mi
Nurse Practitioner
12910 SHELBYVILLE RD STE 300
Louisville, KY 40243
  • Reassigned Medicare billing, Kentucky enrollment
  • 47 clinicians in this Medicare group
NPI 1174394852 (248) 528-2116

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 40165 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 2

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

MRS. CASEY NICOLE PRESTIGIACOMO APRN
Nurse Practitioner (Family)
189 ADAM SHEPHERD PKWY STE 14
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 531-9823
TABATHA ANN SCHERER APRN
Nurse Practitioner (Family)
189 ADAM SHEPHERD PKWY STE 14
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 531-9823

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 Tristen Reesor's NPI number?

The NPI number for Tristen Reesor is 1962295212. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Tristen Reesor located?

Tristen Reesor practices at 189 Adam Shepherd Pkwy Ste 14, Shepherdsville, KY 40165. The listed phone number is (502) 531-9823.

What is Tristen Reesor's specialty?

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

Is Tristen Reesor enrolled in Medicare?

Yes. Tristen Reesor 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 Tristen Reesor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristen Reesor reassigns Medicare benefits to 2 organizations: Kiosk Medicine Kentucky LLC (Louisville, KY) and 360care Services Of Kentucky LLC (Louisville, 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 Tristen Reesor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tristen Reesor was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.