Johnny R Shupe, APRN in Duffield, VA - Medicare Nurse Practitioner

Johnny R Shupe, APRN is a medicare enrolled "Nurse Practitioner - Family" in Duffield, Virginia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Regional Health Resources Inc and his current practice location is 373 Cecil D Quillen Dr, Suite 101, Duffield, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 431-1638.

Johnny R Shupe is licensed to practice in Virginia (license number 0024151769) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659495356.

Contact Information

	Johnny R Shupe, APRN
	373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085
	(276) 431-1638
	(276) 431-1639

Map and Direction

Provider's Profile

Full Name	Johnny R Shupe
Gender	Male
Speciality	Nurse Practitioner
Experience	31 Years
Location	373 Cecil D Quillen Dr, Duffield, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johnny R Shupe attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1993

NPI Data:

NPI Number: 1659495356
Provider Enumeration Date: 03/19/2007
Last Update Date: 08/12/2009

Medicare PECOS Information:

PECOS PAC ID: 8628960473
Enrollment ID: I20140204000389

Medical Identifiers

Medical identifiers for Johnny R Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659495356	NPI	-	NPPES
007790741	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024151769 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regional Health Resources Inc	3173412707	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnny R Shupe allows following entities to bill medicare on his behalf.

Entity Name	Regional Health Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487681771 PECOS PAC ID: 3173412707 Enrollment ID: O20040312000213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny R Shupe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Johnny R Shupe, APRN 3609 Hemlock Park Dr, Kingsport, TN 37663-2063 Ph: (423) 239-3431	Johnny R Shupe, APRN 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 Ph: (276) 431-1638

Reviews and Comments

Nurse Practitioner Nurses in Duffield, VA

Lauren Elizabeth Setler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Kadin Hill Dr, Duffield, VA 24244 Phone: 276-870-4888
Willie Hamilton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Mrs. Lisa Ann Wynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Boone Trail Road, Suite 200, Duffield, VA 24244 Phone: 276-231-9228
Jackie Lynne Craft, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 373 Cecil D Quillen Dr Ste 101, 373 Cecil D. Quillen Drive Suite 101, Duffield, VA 24244 Phone: 276-431-1638
Mr. Adrian Scott Thacker, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Cynthia Renee Taylor, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246

Johnny R Shupe, APRN - Medicare Nurse Practitioner in Duffield, VA