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

Active since August 19, 2011PECOS Enrolled
5743 PRESTON HWY, LOUISVILLE, KY 40219(502) 444-6008(502) 586-7173 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2022, Apr 19, 2021, Jul 23, 2018 and 3 more (6 updates tracked since 2017).

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100200290KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Alignmed Partners, PC
317 mi
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1881109452 (205) 631-8709
Signify Health, LLC
724 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 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 6

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)
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008
KALPANA RANGASWAMY
Nurse Practitioner
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008
OAK STREET HEALTH PHYSICIANS GROUP OF KENTUCKY, PLLC
Clinic/Center (Primary Care)
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008
MARK TODD HARRIS APRN
Nurse Practitioner (Family)
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008
JAYNE POWELL BISHOP LCSW
Social Worker (Clinical)
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008
LISA HUBER NP-C
Nurse Practitioner (Family)
5743 PRESTON HWY
LOUISVILLE, KY 40219
Jefferson County (502) 444-6008

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 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.

Where is Shavon Prentice located?

Shavon Prentice practices at 5743 Preston Hwy, Louisville, KY 40219. The listed phone number is (502) 444-6008.

What is Shavon Prentice's specialty?

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

Is Shavon Prentice enrolled in Medicare?

Yes. Shavon Prentice is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shavon Prentice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shavon Prentice reassigns Medicare benefits to 2 organizations: Alignmed Partners, PC (Gardendale, AL) and Signify Health, LLC (Dallas, TX). 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 Shavon Prentice'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 Shavon Prentice was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.