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RONIN ST JAMES NP
NPI 1104487370
Nurse Practitioner - Family in Indianapolis, IN

Active since June 27, 2019PECOS Enrolled
714 N SENATE AVE STE 100, INDIANAPOLIS, IN 46202(317) 963-0166(317) 963-2711 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, Feb 18, 2021 (2 updates tracked since 2021).

About Ronin St James Np NPPES

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

RONIN ST JAMES NP (NPI 1104487370) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71009060A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1104487370
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRONIN ST JAMESCredential: NP
Location Address714 N SENATE AVE STE 100Indianapolis, IN 46202-3297
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 963-0166
Fax(317) 963-2711
Sole ProprietorNo
Enumeration DateJune 27, 2019
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1104487370 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 · 71009060A
714 N SENATE AVE STE 100, Indianapolis, IN 46202
Open in Google Maps ↗

Other Names 1

Former Name (1)James Shearon

Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-6201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronin St James Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Ronin St James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
0.9 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 16

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

JOSHUA MCALISTER
Radiology Practitioner Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 472-4565
KELLEY L WORMMEESTER PA-C
Physician Assistant (Medical)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 715-6402
KATHARINE ELIZABETH WALLS NP
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0166
DR. DAVID M AGARWAL M.D.
Radiology (Vascular & Interventional Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 312-9992
KYLE D MORFORD RRA
Radiologic Technologist
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0156
NICHOLAS E TOWNSEND PA-C
Physician Assistant
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 944-1801
DR. PAUL JOSEPH NIZIOLEK M.D., PH.D.
Radiology (Diagnostic Radiology)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 963-0156
SALLY H GOODIN NP
Nurse Practitioner (Family)
714 N SENATE AVE STE 100
INDIANAPOLIS, IN 46202
Marion County (317) 944-4831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronin St James's NPI number?

The NPI number for Ronin St James is 1104487370. It was assigned to this individual provider in the NPPES registry on June 27, 2019. The provider is also known as James Shearon.

Where is Ronin St James located?

Ronin St James practices at 714 N Senate Ave Ste 100, Indianapolis, IN 46202. The listed phone number is (317) 963-0166.

What is Ronin St James's specialty?

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

Is Ronin St James enrolled in Medicare?

Yes. Ronin St James is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronin St James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronin St James reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronin St James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronin St James was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.