MR. GROVER ALEXANDER SHELTON III NP
NPI 1316415136
Nurse Practitioner in Indianapolis, IN

Q: What is Grover Shelton's NPI number?

The NPI number for Grover Shelton is 1316415136. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Q: What is Grover Shelton'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 Grover Shelton was last updated on October 20, 2020. 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.

Active since November 09, 2018PECOS EnrolledAccepts Medicare Assignment

8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250(317) 621-8500 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Aug 12, 2020, Apr 16, 2019 and 3 more (6 updates tracked since 2018).

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About Mr. Grover Alexander Shelton Iii Np NPPES

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

MR. GROVER ALEXANDER SHELTON III NP (NPI 1316415136) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71008853A) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316415136

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. GROVER ALEXANDER SHELTON IIICredential: NP

Location Address8075 N SHADELAND AVE STE 200Indianapolis, IN 46250

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7588

Phone(317) 621-8500

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2018

Enumeration DateNovember 9, 2018

Last NPPES UpdateOctober 20, 20206 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1316415136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71008853A

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.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 429527 (OH)

8075 N SHADELAND AVE STE 200, Indianapolis, IN 46250

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Secondary Practice Locations 2

Location 114602 Garfield AveLakewood, OH 44107-5927 · Phone (317) 332-8367

Location 25255 E Stop 11 Rd Ste 300Indianapolis, IN 46237-6341 · Phone (317) 528-4723

Other Identifiers 1

Medicaid300023898IN

Accepted Insurance

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

Mr. Grover Alexander Shelton Iii 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 ID8426398942

PECOS Enrollment IDI20190320001908

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.

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

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 20

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

KARISSA MILLER PA

Physician Assistant