Shawn A Billingsley, - Medicare Nurse Practitioner in Cookeville, TN

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Shawn A Billingsley, is a medicare enrolled "Nurse Practitioner - Family" in Cookeville, Tennessee. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Summit Medical Group, Pllc, Ernest G. Buchanan, Iv, M.d., Pc and his current practice location is 1101 Neal St, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 528-7797.

Shawn A Billingsley is licensed to practice in Tennessee (license number 30019) 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 1508530734.

Contact Information

Shawn A Billingsley,
1101 Neal St,
Cookeville, TN 38501-0901
(931) 528-7797
(931) 372-0098

Map and Direction




Provider's Profile

Full NameShawn A Billingsley
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location1101 Neal St, Cookeville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawn A Billingsley graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1508530734
  • Provider Enumeration Date: 08/02/2021
  • Last Update Date: 05/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860899382
  • Enrollment ID: I20210927002202

Medical Identifiers

Medical identifiers for Shawn A Billingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508530734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 30019 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330515
Ernest G. Buchanan, Iv, M.d., Pc93350365575

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. Shawn A Billingsley allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameErnest G. Buchanan, Iv, M.d., Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740478486
PECOS PAC ID: 9335036557
Enrollment ID: O20090630000267
Entity NameUpper Cumberland Medical Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003302423
PECOS PAC ID: 0042564163
Enrollment ID: O20181108000905
Entity NameKidney Care Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932779170
PECOS PAC ID: 6406244599
Enrollment ID: O20211021002535

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. Shawn A Billingsley 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 AddressPractice Location Address
Shawn A Billingsley,
1275 Dick Lonas Rd Unit 101,
Knoxville, TN 37909-1383

Ph: (865) 584-4747		Shawn A Billingsley,
1101 Neal St,
Cookeville, TN 38501-0901

Ph: (931) 528-7797

Reviews and Comments


Nurse Practitioner Nurses in Cookeville, TN

Amy Jo Emerick, PMHNP
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Practice Location: 509 N Cedar Ave, Cookeville, TN 38501
Phone: 931-520-8435    
Cathleen Delane Stewart, NURSE PRACTIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 758 S Willow Ave., Cookeville, TN 38501
Phone: 931-526-6173    Fax: 931-526-5084
Laura June Young, FAMILY PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Neal St, Cookeville, TN 38501
Phone: 931-528-8593    
Sarah Brady, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 3rd St, Cookeville, TN 38501
Phone: 931-528-9047    
Mrs. Karen Candace Norrod, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Willow Ave, Cookeville, TN 38506
Phone: 931-349-4603    
Joseph C Archer, ANP C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Willow Ave, Cookeville, TN 38501
Phone: 931-526-9518    Fax: 931-372-0087
Japheth F Harding, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 N Willow Ave, Cookeville, TN 38501
Phone: 931-528-8899    Fax: 931-528-5121

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.