HENA NAZ SHAH NP
NPI 1205364494
Nurse Practitioner - Adult Health in Bloomington, IN

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 333-5973(812) 333-5978 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Dec 21, 2020, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Hena Naz Shah Np NPPES

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

HENA NAZ SHAH NP (NPI 1205364494) is an individual adult health provider in Bloomington, Indiana, licensed in Indiana (71007184A) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1205364494
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHENA NAZ SHAHCredential: NP
Location Address550 S LANDMARK AVEBloomington, IN 47403-3239
Mailing Address550 S Landmark AveBloomington, IN 47403-3239 · (812) 333-5973 · Fax (812) 333-5978
Fax(812) 333-5978
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateJune 1, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1205364494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IN · 71007184A
550 S LANDMARK AVE, Bloomington, IN 47403

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 and accepts Medicare assignment

Hena Naz Shah Np 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 ID7113297474
PECOS Enrollment IDI20170719000630
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
168 services154 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services71 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
60 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services54 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers57 claims151 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers17 claims24 services$1.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers44 claims44 services$184.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Family Medicine (Adult Medicine)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Surgery (Vascular Surgery)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine (Pulmonary Disease)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Surgery
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Durable Medical Equipment & Medical Supplies
550 S LANDMARK AVE
BLOOMINGTON, IN 47403

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 Hena Shah's NPI number?

The NPI number for Hena Shah is 1205364494. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Hena Shah located?

Hena Shah practices at 550 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 333-5973.

What is Hena Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Hena Shah enrolled in Medicare?

Yes. Hena Shah 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 Hena Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Hena Shah 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 Hena Shah affiliated with any hospitals?

According to CMS data, Hena Shah is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Hena Shah was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.