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SHELLY ST. CLAIR
NPI 1245861426
Nurse Practitioner - Family in Indianapolis, IN

Active since January 28, 2020PECOS EnrolledAccepts Medicare Assignment
7979 N SHADELAND AVE STE 300, INDIANAPOLIS, IN 46250(317) 621-4418 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, Jan 30, 2020 (2 updates tracked since 2020).

About Shelly St. Clair NPPES

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

SHELLY ST. CLAIR (NPI 1245861426) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71009735A) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245861426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY ST. CLAIR
Location Address7979 N SHADELAND AVE STE 300Indianapolis, IN 46250-2042
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 621-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 28, 2020
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1245861426 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 · 71009735A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28114043A (IN)
7979 N SHADELAND AVE STE 300, Indianapolis, IN 46250
Open in Google Maps ↗

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

Shelly St. Clair 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 ID446686349
PECOS Enrollment IDI20200213001512
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 5

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.
102 services46 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.
78 services50 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
28 services18 patients
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.
21 services15 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.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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 4

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

SUSAN ADDINGTON
Social Worker (Clinical)
7979 N SHADELAND AVE STE 300
INDIANAPOLIS, IN 46250
Marion County (317) 621-4418
EVELYN E BOSE MD
Family Medicine
7979 N SHADELAND AVE STE 300
INDIANAPOLIS, IN 46250
Marion County (317) 621-4418
ROSEMARY ELAINE FREEDMAN CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
7979 N SHADELAND AVE STE 300
INDIANAPOLIS, IN 46250
Marion County (317) 621-4417
ERIKA KLUEH
Social Worker (Clinical)
7979 N SHADELAND AVE STE 300
INDIANAPOLIS, IN 46250
Marion County (317) 621-4418

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 Shelly St. Clair's NPI number?

The NPI number for Shelly St. Clair is 1245861426. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Shelly St. Clair located?

Shelly St. Clair practices at 7979 N Shadeland Ave Ste 300, Indianapolis, IN 46250. The listed phone number is (317) 621-4418.

What is Shelly St. Clair's specialty?

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

Is Shelly St. Clair enrolled in Medicare?

Yes. Shelly St. Clair 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 Shelly St. Clair accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shelly St. Clair 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 Shelly St. Clair affiliated with any hospitals?

According to CMS data, Shelly St. Clair is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Shelly St. Clair was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.