AMANDA JEAN SHACKELFORD (APRN) – Family Nurse Practitioner, NPI 1295460251
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for AMANDA JEAN SHACKELFORD (APRN)
215 E 11TH ST
NEWPORT, KY 410712203
Phone: (859) 655-6100
Fax: (859) 655-6221
Type: Mailing
101 ORCHARD DR
NICHOLASVILLE, KY 403562690
Phone: (859) 881-4288
Fax: (859) 881-4388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,529.
Total Amount is formed as General ($1,529) + Research ($0) + Ownership ($0) = $1,529.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($404).
Total Amount
$1,529
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,529
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $404 |
| Novo Nordisk Inc | $253 |
| PFIZER INC. | $133 |
| ABBVIE INC. | $83 |
| Phathom Pharmaceuticals, Inc. | $71 |
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: 2022-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220923001030 | I | Nurse Practitioner | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 264 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 134 | 98 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 107 | 88 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 107 | 90 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 101 | 92 | $0 |
Insurance plans in this area (ZIP 41071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | KY | |
| Internal Medicine | OH | |
| - | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| - | KY |
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