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

Q: What is Mindy Shoulders's NPI number?

The NPI number for Mindy Shoulders is 1114488616. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Mindy Shoulders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mindy Shoulders was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: November 01, 2026.

On this page

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

Phone(812) 428-6161

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

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Mindy Shoulders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Clinic, Inc

Same address

Family Medicine

4506 1ST AVE
Evansville, IN 47710

Reassigned Medicare billing, Indiana enrollment
444 clinicians in this Medicare group

NPI 1013274471 (812) 428-6161

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 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.

DEACONESS CLINIC, INC

Family Medicine