SHELBY JEAN THORNTON (A.P.R.N.) – Nurse Practitioner, NPI 1053577189

SHELBY JEAN THORNTON (A.P.R.N.) is a healthcare provider. based in Fort mitchell, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R.N.. They hold a License No. 3005772 (KY). The NPI Number for SHELBY JEAN THORNTON (A.P.R.N.) is 1053577189

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY JEAN THORNTON (A.P.R.N.)
NPI
1053577189
Phone
(859) 341-3114
Address
2300 CHAMBER CENTER DRIVE
Enumeration Date
29 July 2008
Last Update Date
11 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593413114
Graduation Year
2006 (20 years ago)
PAC ID
4082771183
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20090317000150
Address ID
KY410171686LA2300XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for SHELBY JEAN THORNTON (A.P.R.N.)

  • 2300 CHAMBER CENTER DRIVE

    SUITE 100

    FORT MITCHELL, KY 410171673

    Phone: (859) 341-3114

    Fax: (859) 578-2156

    Type: Location

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (859) 341-3114

    Fax: (859) 578-2156

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,234.

Total Amount is formed as General ($1,234) + Research ($0) + Ownership ($0) = $1,234.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($345).

Total Amount

$1,234

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090317000150INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes169126$0
99213Established patient office or other outpatient visit, 20-29 minutes114101$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg6015$0
G0008Administration of influenza virus vaccine2625$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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Provider's Procedures

SHELBY JEAN THORNTON (A.P.R.N.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY81002Urinalysis, manual test1916

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up SHELBY JEAN THORNTON (A.P.R.N.) by NPI?
Use NPI 1053577189 when you need to reference SHELBY JEAN THORNTON (A.P.R.N.) in forms, claims, or directories.
Is SHELBY JEAN THORNTON (A.P.R.N.)'s NPI currently valid?
The extract we use shows SHELBY JEAN THORNTON (A.P.R.N.) as active.
Does SHELBY JEAN THORNTON (A.P.R.N.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for SHELBY JEAN THORNTON (A.P.R.N.). Clinical services aligned with this taxonomy classification.
Does SHELBY JEAN THORNTON (A.P.R.N.) practice in Kentucky?
You will see Fort Mitchell, Kentucky on file for SHELBY JEAN THORNTON (A.P.R.N.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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