MINDY SUE SHOULDERS NP
NPI 1114488616
Nurse Practitioner in Evansville, IN

Active since March 27, 2019PECOS Enrolled
4506 1ST AVE, EVANSVILLE, IN 47710(812) 428-6161(812) 421-2883 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mindy Sue Shoulders Np NPPES

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

MINDY SUE SHOULDERS NP (NPI 1114488616) is an individual nurse practitioner in Evansville, Indiana, licensed in Indiana (71008958A) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114488616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMINDY SUE SHOULDERSCredential: NP
Location Address4506 1ST AVEEvansville, IN 47710-3624
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 421-2883
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateMay 24, 2019
NPI 1114488616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71008958A
Definition

(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.

4506 1ST AVE, Evansville, IN 47710

Accepted 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)

Mindy Sue Shoulders 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 47710 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 20

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

Family Medicine
4506 1ST AVE
EVANSVILLE, IN 47710
Family Medicine
4506 1ST AVE
EVANSVILLE, IN 47710
Nurse Practitioner
4506 1ST AVE
EVANSVILLE, IN 47710
Family Medicine
4506 1ST AVE
EVANSVILLE, IN 47710
Clinic/Center (Occupational Medicine)
4506 1ST AVE
EVANSVILLE, IN 47710
Nurse Practitioner
4506 1ST AVE
EVANSVILLE, IN 47710
Nurse Practitioner
4506 1ST AVE
EVANSVILLE, IN 47710
Nurse Practitioner
4506 1ST AVE
EVANSVILLE, IN 47710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114488616, enumerated as an "individual" on March 27, 2019.

The provider is located at 4506 1ST AVE EVANSVILLE, IN 47710 and the phone number is (812) 428-6161.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.