Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952145682 Individual Practitioner Female Practitioner

Baowen Shi , CNP

Nurse Practitioner • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Baowen Shi, CNP is a certified Nurse Practitioner practicing in Edgewood, KY. With approximately 7 years of clinical experience since completing medical education in 2019, Baowen Shi delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DRIVE.

Baowen Shi maintains professional affiliations with Summit Medical Group Inc, Trihealth H Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Drive

Edgewood, KY 410173403

Telephone 8597572927
Associated Practice Facility / Clinic
🏢 Summit Medical Group, Inc Facility NPI 1922574854

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shi (7 Years) 7 Yrs
Edgewood Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 4023484

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.0038524

Definition to come...

Hospital & Practice Group Affiliations

Trihealth H Llc

10500 Montgomery Rd, Montgomery, OH 452424402

Phone: 5138652246

Summit Medical Group Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8592124468

Secondary Practice Locations

50 W Rivercenter Blvd.

Covington, KY 41011

Phone: 8594797785

10500 Montgomery Rd

Montgomery, OH 452424402

Phone: 5138652246

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Jessica Carbiener , APRN

Nurse Practitioner

NPI 1033911755

Advanced Practice Registered Nurse

Kristen Carter

Nurse Practitioner

NPI 1154885549
Dr. Nathan Reardon , DNP

Nurse Practitioner

NPI 1174322820

Doctor of Nursing Practice

Thomas Mcdonald , PA-C

Physician Assistant

NPI 1215381751

Physician Assistant (Certified)

Richard Waller , APRN

Nurse Practitioner

NPI 1215770516

Advanced Practice Registered Nurse

Christopher Hamrick , NP

Nurse Practitioner

NPI 1225822208

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address November 15, 2025

Registered at P.O. BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593445555)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2025

Nurse Practitioner (License #4023484 in KY)

📍
Updated Business Mailing Address April 08, 2025

Registered at 10500 MONTGOMERY RD, MONTGOMERY, OH 452424402 (Tel: 5138652246)

👤
Provider Name / Credentials Updated April 08, 2025

Recorded as BAOWEN SHI, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Nurse Practitioner (License #APRN.CNP.0038524 in OH)

NPI Profile Active June 19, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2024

Registered at 1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 410173403 (Tel: 8597572927)

📍
Updated Business Mailing Address June 19, 2024

Registered at P.O. BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593445555)

👤
Provider Name / Credentials Updated June 19, 2024

Recorded as BAOWEN SHI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2024

Nurse Practitioner (License #4023484 in KY)

🟢
Initial NPI Registration & Enumeration June 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952145682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2024
Last Update: November 15, 2025
Sole Proprietor: No

Mailing Address

P.o. Box 635283

Cincinnati, OH 452635283

Phone: 8593445555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.