SHANNON WILES (APRN) – Family Nurse Practitioner, NPI 1982145975

SHANNON WILES (APRN) is a healthcare provider. based in Danville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3011177 (KY). The NPI Number for SHANNON WILES (APRN) is 1982145975

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON WILES (APRN)
NPI
1982145975
Phone
(859) 936-9844
Address
520 TECHWOOD DR N
Enumeration Date
10 March 2017
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592362203
Graduation Year
2016 (10 years ago)
PAC ID
2567739329
Group Practice PAC ID
7416847793
Professional Enrollment ID
I20170526000174
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for SHANNON WILES (APRN)

  • Techwood Drive, Danville, Boyle County, Kentucky, 40422, United States

    STE 100

    DANVILLE, KY 404228500

    Phone: (859) 936-9844

    Fax: (859) 236-0320

    Type: Mailing

  • 2084 MAIN ST

    WILLISBURG, KY 400788199

    Phone: (859) 375-9200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $675.

Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Indivior Inc. ($196).

Total Amount

$675

General + Research + Ownership

Payments

29

Total payment records

General Amount

$675

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2017-05-26

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
I20170526000174INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40422)

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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: 7416847793View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineKY
Nurse PractitionerKY
-KY
Medical OncologyKY

Reviews

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Frequently asked questions

How do payers reference SHANNON WILES (APRN)?
For SHANNON WILES (APRN), use NPI 1982145975 as the unique 10-digit identifier.
Would SHANNON WILES (APRN) appear as active to a payer?
You can treat SHANNON WILES (APRN) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SHANNON WILES (APRN)'s focus?
For SHANNON WILES (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is SHANNON WILES (APRN) registered?
Use Danville, Kentucky as the headline location for SHANNON WILES (APRN) here.
Does SHANNON WILES (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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