Shamecka Sullivan, PMHNP - Medicare Nurse Practitioner in Fairdale, KY

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Shamecka Sullivan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairdale, Kentucky. Her current practice location is 1000 Neighborhood Pl, Fairdale, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 361-2381.

Shamecka Sullivan is licensed to practice in Kentucky (license number 4024554) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023840717.

Contact Information

Shamecka Sullivan, PMHNP
1000 Neighborhood Pl,
Fairdale, KY 40118-9697
(502) 361-2381
(502) 996-8309

Map and Direction




Provider's Profile

Full NameShamecka Sullivan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1000 Neighborhood Pl, Fairdale, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023840717
  • Provider Enumeration Date: 08/20/2024
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456883297
  • Enrollment ID: I20241017001137

Medical Identifiers

Medical identifiers for Shamecka Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023840717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4024554 (Kentucky)Primary

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. Shamecka Sullivan allows following entities to bill medicare on her behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20190703001141
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20211217001894
Entity NameEventus Ecs, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073353496
PECOS PAC ID: 2163969650
Enrollment ID: O20240910001036

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. Shamecka Sullivan 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
Shamecka Sullivan, PMHNP
Po Box 392552,
Pittsburgh, PA 15251-9500

Ph: (512) 792-4402		Shamecka Sullivan, PMHNP
1000 Neighborhood Pl,
Fairdale, KY 40118-9697

Ph: (502) 361-2381

Reviews and Comments


Nurse Practitioner Nurses in Fairdale, KY

Mrs. Ieshia Miya Blakey, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118
Phone: 502-361-2381    Fax: 502-996-8309
Terrica Michelle Flowers, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118
Phone: 502-361-2381    Fax: 502-996-8309
Dona J Meers, C.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118
Phone: 502-361-2381    Fax: 502-363-1463

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.