Shelly Popham Stiles, APRN in Louisville, KY - Medicare Nurse Practitioner

Shelly Popham Stiles, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proactive Therapy, Inc, Kentucky Orthopedic Rehabilitation Llc, Baptist Health Medical Group Inc and her current practice location is 120 Executive Park, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 855-7200.

Shelly Popham Stiles is licensed to practice in Kentucky (license number 3006663) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922318484.

Contact Information

	Shelly Popham Stiles, APRN
	120 Executive Park, Louisville, KY 40207-4201
	(502) 855-7200
	(502) 855-7201

Map and Direction

Provider's Profile

Full Name	Shelly Popham Stiles
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	120 Executive Park, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelly Popham Stiles graduated from nursing school in 2010

NPI Data:

NPI Number: 1922318484
Provider Enumeration Date: 10/18/2010
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 2466641949
Enrollment ID: I20110114000141

Medical Identifiers

Medical identifiers for Shelly Popham Stiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922318484	NPI	-	NPPES
121043	Other		SIHO PROVIDER ID NUMBER
1890913	Other		HUMANA PROVIDER ID NUMBER
CS2026700142	Other		CARESOURCE PROVIDER ID NUMBER
000001401850	Other		ANTHEM PROVIDER ID NUMBER
4315911	Other		CIGNA PROVIDER ID NUMBER
2254146	Other	KY	WELLCARE OF KENTUCKY PROVIDER ID NUMBER
7100145300	Medicaid	KY
93601KYIP	Other	KY	AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
300027468	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003523A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	3006663 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Louisville	Louisville, KY	Hospital
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital
Baptist Health Lagrange	La grange, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proactive Therapy, Inc	0143245415	61
Kentucky Orthopedic Rehabilitation Llc	0345157293	731
Baptist Health Medical Group Inc	5597867184	1934

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. Shelly Popham Stiles allows following entities to bill medicare on her behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503

Entity Name	Commonwealth Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577

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. Shelly Popham Stiles 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
Shelly Popham Stiles, APRN 223 Executive Park, Louisville, KY 40207-4202 Ph: (502) 907-0356	Shelly Popham Stiles, APRN 120 Executive Park, Louisville, KY 40207-4201 Ph: (502) 855-7200

Reviews and Comments

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Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Shelly Popham Stiles, APRN - Medicare Nurse Practitioner in Louisville, KY