Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Baowen Shi, CNP

Individual provider Nurse Practitioner · NPI 1952145682

Baowen Shi, CNP is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2019, 7 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
7
Licensed in
KY, OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 757-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 W Rivercenter Blvd., Covington, KY 41011 — (859) 479-7785
  • 10500 Montgomery Rd, Montgomery, OH 45242-4402 — (513) 865-2246

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4023484 (KY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN.CNP.0038524 (OH)

Record details

NPI number1952145682
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025
Mailing addressP.O. Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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