Shively First Health Care, LLC
NPI 1811775679 · Family Nurse Practitioner · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shively First Health Care, LLC is a Family Nurse Practitioner organization in Louisville, KY (NPI 1811775679).
Provider details
- NPI number
- 1811775679
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Devin Pantess, Business Manager(502) 259-8811
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Shively First Health Care, LLC's NPI number?
- Shively First Health Care, LLC's National Provider Identifier (NPI) is 1811775679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shively First Health Care, LLC?
- Shively First Health Care, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shively First Health Care, LLC located?
- Shively First Health Care, LLC's practice location on file with NPPES is 924 E Broadway, Louisville, KY 40204-1057.
- What is Shively First Health Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shively First Health Care, LLC is (502) 200-1335.
- Does Shively First Health Care, LLC accept Medicare?
- Shively First Health Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shively First Health Care, LLC?
- The authorized official listed on Shively First Health Care, LLC's NPPES record is Devin Pantess, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shively First Health Care, LLC's NPI active?
- Yes — Shively First Health Care, LLC's NPI (1811775679) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.