AMY NICOLE SHORTT (ACNP-AG) – Gerontology Nurse Practitioner, NPI 1891451936

AMY NICOLE SHORTT (ACNP-AG) is a healthcare provider. based in Honaker, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-AG. They hold a License No. 2021040583 (MO). The NPI Number for AMY NICOLE SHORTT (ACNP-AG) is 1891451936

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMY NICOLE SHORTT (ACNP-AG)
NPI
1891451936
Phone
(276) 873-6300
Address
5705 Redbud Hwy
Enumeration Date
12 November 2021
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232748600
Graduation Year
2021 (5 years ago)
PAC ID
3072981638
Group Practice PAC ID
5799970281
Professional Enrollment ID
I20250731003127
Address ID
TN376207455BR271XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:4State licenses:3Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for AMY NICOLE SHORTT (ACNP-AG)

  • 5705 Redbud Hwy

    Honaker, VA 242607436

    Phone: (276) 873-6300

    Type: Location

  • 16000 Johnston Memorial Dr

    Abingdon, VA 242117664

    Phone: (276) 258-1000

    Fax: (276) 258-1000

    Type: Location

  • 245 Medical Park Dr Ste A

    Marion, VA 243541100

    Phone: (276) 378-1000

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Fax: (423) 282-1657

    Type: Mailing

  • 271 MEDICAL PARK BLVD

    BRISTOL, TN 376207455

    Phone: (423) 274-8600

    Type: Location

  • 4201 E 195TH ST

    BELTON, MO 640123601

    Phone: (816) 729-3628

    Type: Mailing

  • 17065 US 71

    BELTON, MO 64012

    Phone: (816) 605-9758

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Amgen Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$18
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: 2025-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240808000004INurse PractitionerVATBD
I20250731003127INurse PractitionerTNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9859$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6849$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5353$0
99239Hospital discharge day management, more than 30 minutes5251$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 24260)

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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: 5799970281View full group profile
NameSpecialtyState
Interventional CardiologyFL
Nurse PractitionerTN
Physician AssistantTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
-TN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTN
Nurse PractitionerVA

Reviews

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Frequently asked questions

Does AMY NICOLE SHORTT (ACNP-AG) have a public NPI I can cite?
Public records show AMY NICOLE SHORTT (ACNP-AG) under NPI 1891451936.
Is AMY NICOLE SHORTT (ACNP-AG)'s NPI status active today?
Active status means AMY NICOLE SHORTT (ACNP-AG)'s NPI record is not deactivated in the public file.
Which specialty label fits AMY NICOLE SHORTT (ACNP-AG)?
NPPES ties AMY NICOLE SHORTT (ACNP-AG) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is AMY NICOLE SHORTT (ACNP-AG) tied to Honaker, Virginia?
If you are local to Honaker, Virginia, AMY NICOLE SHORTT (ACNP-AG) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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