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SHELLEY NICOLE GOUGH NP-C
NPI 1164019501
Nurse Practitioner - Family in New Castle, IN

Active since December 30, 2020PECOS EnrolledAccepts Medicare Assignment
2200 FOREST RIDGE PKWY STE 310, NEW CASTLE, IN 47362(765) 599-3400 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Nov 4, 2022, Jan 27, 2021 and 1 more (4 updates tracked since 2020).

About Shelley Nicole Gough Np-c NPPES

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

SHELLEY NICOLE GOUGH NP-C (NPI 1164019501) is an individual family provider in New Castle, Indiana, licensed in Indiana (71010755A) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164019501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLEY NICOLE GOUGHCredential: NP-C
Location Address2200 FOREST RIDGE PKWY STE 310New Castle, IN 47362-2943
Mailing AddressPo Box 485New Castle, IN 47362-0485 · (765) 521-1516
Phone(765) 599-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 30, 2020
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1164019501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010755A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28194797A (IN)
2200 FOREST RIDGE PKWY STE 310, New Castle, IN 47362
Open in Google Maps ↗

Other Names 1

Former Name (1)Shelley Nicole Copeland Np-c

Secondary Practice Locations 2

Location 1152 Wittenbraker AveNew Castle, IN 47362-5000 · Phone (765) 599-3100
Location 23512 Stellhorn RdFort Wayne, IN 46815-4631 · Phone (260) 483-9081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelley Nicole Gough Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42624256
PECOS Enrollment IDI20210129001643
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47362 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 9

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

ANNE C MOORE NP
Nurse Practitioner (Family)
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
STACY DARLENE THOMPSON LCSW
Social Worker (Clinical)
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
OLIVIA MALOTT LCSW
Social Worker (Clinical)
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
DR. ROMANA N MALIK M.D.
Internal Medicine
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
MRS. KAREY LINNE DAVIS PA-C
Physician Assistant (Medical)
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
KRISTIN R. SHIELDS PA-C
Physician Assistant
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
DR. RAKESH H PATEL M.D., M.SC.
Physical Medicine & Rehabilitation
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400
DR. SCOTT B. TAYLOR MD
Physical Medicine & Rehabilitation
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 47362
Henry County (765) 599-3400

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 Shelley Gough's NPI number?

The NPI number for Shelley Gough is 1164019501. It was assigned to this individual provider in the NPPES registry on December 30, 2020. The provider is also known as Shelley Nicole Copeland Np-C.

Where is Shelley Gough located?

Shelley Gough practices at 2200 Forest Ridge Pkwy Ste 310, New Castle, IN 47362. The listed phone number is (765) 599-3400.

What is Shelley Gough's specialty?

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

Is Shelley Gough enrolled in Medicare?

Yes. Shelley Gough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelley Gough accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Shelley Gough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelley Gough affiliated with any hospitals?

According to CMS data, Shelley Gough is affiliated with Henry County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shelley Gough was last updated on June 13, 2024. 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.