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

Nathan Shane Reasor

Individual provider Family Nurse Practitioner · NPI 1649928342

Nathan Shane Reasor is a Nurse Practitioner in Paducah, Kentucky. Qualified in 2021, 5 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

2601 Kentucky Ave Ste 301
Paducah, KY 42003-3826
Phone: (270) 575-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3017378 (KY)

Record details

NPI number1649928342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2022
Last updated in NPPESJuly 4, 2022
Certification dateJuly 4, 2022
Mailing address3205 Jefferson St, Paducah, KY 42001-4327

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Paducah