SHAVON PRENTICE APRN - NPI 1962782128 - Nurse Practitioner in Louisville, KY

Q: What is Shavon Prentice's NPI number?

The NPI number for Shavon Prentice is 1962782128. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Q: What is Shavon Prentice's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shavon Prentice was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shavon Prentice Aprn NPPES

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

SHAVON PRENTICE APRN (NPI 1962782128) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3007023) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962782128

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAVON PRENTICECredential: APRN

Location Address5743 PRESTON HWYLouisville, KY 40219-1305

Mailing AddressPo Box 740012Atlanta, GA 30374-0012

Phone(502) 444-6008

Fax(502) 586-7173

Sole ProprietorNo

Enumeration DateAugust 19, 2011

Last NPPES UpdateDecember 19, 20226 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1962782128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3007023

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71003614A (IN)

5743 PRESTON HWY, Louisville, KY 40219

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Other Identifiers 1

Medicaid7100200290KY

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 (PECOS)

Shavon Prentice Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40219 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 5

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

PHYLLIS A MILBURN APRN

Nurse Practitioner (Psychiatric/Mental Health)