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

Q: 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.

Q: What is Ronin St James'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 Ronin St James was last updated on August 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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