Shellie Rose Butler, FNP - Medicare Nurse Practitioner in Cumberland Gap, TN

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Shellie Rose Butler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cumberland Gap, Tennessee. Her current practice location is 779 Highway 63 Ste 1, Cumberland Gap, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 919-9886.

Shellie Rose Butler is licensed to practice in Tennessee (license number 34156) 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 1033898416.

Contact Information

Shellie Rose Butler, FNP
779 Highway 63 Ste 1,
Cumberland Gap, TN 37724-4116
(423) 919-9886
(423) 919-9887

Map and Direction




Provider's Profile

Full NameShellie Rose Butler
GenderFemale
SpecialityNurse Practitioner - Family
Location779 Highway 63 Ste 1, Cumberland Gap, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033898416
  • Provider Enumeration Date: 07/13/2023
  • Last Update Date: 05/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466813712
  • Enrollment ID: I20240118003402

Medical Identifiers

Medical identifiers for Shellie Rose Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033898416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 34156 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 34156 (Tennessee)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. Shellie Rose Butler allows following entities to bill medicare on her behalf.
Entity NameKentucky Friendly Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467939066
PECOS PAC ID: 0143572909
Enrollment ID: O20190410000910

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. Shellie Rose Butler 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
Shellie Rose Butler, FNP
400 Mountain Lane,
New Tazewell, TN 37825

Ph: (865) 382-0690		Shellie Rose Butler, FNP
779 Highway 63 Ste 1,
Cumberland Gap, TN 37724-4116

Ph: (423) 919-9886

Reviews and Comments


Nurse Practitioner Nurses in Cumberland Gap, TN

Jessica R Chittum, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 779 Highway 63 Ste 1, Cumberland Gap, TN 37724
Phone: 423-919-9886    Fax: 423-919-9887
Whitney Deshea Stanfield,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2210 Highway 63, Cumberland Gap, TN 37724
Phone: 423-919-9986    

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.