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GWENDOLYN SHELTON MD
NPI 1285649749
Pediatrics in Boonville, IN

Active since July 30, 2006PECOS Enrolled
1116 MILLIS AVE, BOONVILLE, IN 47601(812) 897-7404 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Aug 16, 2022 (2 updates tracked since 2022).

About Gwendolyn Shelton Md NPPES

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

GWENDOLYN SHELTON MD (NPI 1285649749) is an individual pediatrics provider in Boonville, Indiana, licensed in Indiana (01083878A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Berlin.

NPPES Registry Identity

NPI1285649749
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGWENDOLYN SHELTONCredential: MD
Location Address1116 MILLIS AVEBoonville, IN 47601-2204
Mailing Address1116 Millis AveBoonville, IN 47601-2204
Phone(812) 897-7404
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1285649749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01083878A✔ Licensed in NM · 2002-0294✔ Licensed in VT · 0420012043
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1116 MILLIS AVE, Boonville, IN 47601
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Other Names 1

Former Name (1)Gwendolyn S Lattimore Md

Secondary Practice Location 1

Location 1246 Granger Rd, Suite 1Berlin, VT 05602-0000 · Phone (802) 371-5950 · Fax (802) 371-5951

Other Identifiers 2

Medicaid41835557NM
Medicaid1018027VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Shelton Md 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 47601 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
99%1,060 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
93%821 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MIDWEST MEDICAL ASSOCIATES, LLC
Family Medicine
1116 MILLIS AVE, SUITE 101
BOONVILLE, IN 47601
Warrick County (812) 897-7383
DR. HEIDI M DUNNIWAY M.D.
Otolaryngology
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 485-1400
VITUITY-HM SERVICES PC
Hospitalist
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 897-4800
MARIAH BEADLES
Physician Assistant
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 897-7404
ST. MARY'S WARRICK HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 897-4800
DR. MARIA RITA BOLISAY M.D.
Family Medicine
1116 MILLIS AVE, SUITE 101
BOONVILLE, IN 47601
Warrick County (812) 897-7383
DANA FISHER OTR
Occupational Therapist
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 891-7158
FAMILY COUNSELING SERVICE, LLC
Social Worker (Clinical)
1116 MILLIS AVE
BOONVILLE, IN 47601
Warrick County (812) 897-7131

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 Gwendolyn Shelton's NPI number?

The NPI number for Gwendolyn Shelton is 1285649749. It was assigned to this individual provider in the NPPES registry on July 30, 2006. The provider is also known as Gwendolyn S Lattimore MD.

Where is Gwendolyn Shelton located?

Gwendolyn Shelton practices at 1116 Millis Ave, Boonville, IN 47601. The listed phone number is (812) 897-7404.

What is Gwendolyn Shelton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gwendolyn Shelton enrolled in Medicare?

Yes. Gwendolyn Shelton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwendolyn Shelton was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.