NICHOLE M SHULTZ FNP - NPI 1033419825 - Nurse Practitioner in Michigan City, IN

Q: What is Nichole Shultz's NPI number?

The NPI number for Nichole Shultz is 1033419825. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Q: What is Nichole Shultz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Shultz was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

On this page

About Nichole M Shultz Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE M SHULTZ FNP (NPI 1033419825) is an individual family provider in Michigan City, Indiana, licensed in Indiana (71003388A) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033419825

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLE M SHULTZCredential: FNP

Location Address4111 FRANKLIN STMichigan City, IN 46360-7803

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(121) 987-3291

Fax(219) 873-2909

Sole ProprietorNo

Enumeration DateOctober 26, 2010

Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1033419825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71003388A

4111 FRANKLIN ST, Michigan City, IN 46360

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17905 Calumet AveMunster, IN 46321-2549 · Phone (219) 836-7506

Location 2601 W. Kieffer RoadMichigan City, IN 46360-9599 · Phone (219) 879-6262 · Fax (219) 874-1885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole M Shultz Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL OWOLABI M.D.

Emergency Medicine