SHEILA M FLEMING NP
NPI 1326231689
Nurse Practitioner - Adult Health in Goshen, IN

Q: What is Sheila Fleming's NPI number?

The NPI number for Sheila Fleming is 1326231689. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Q: What is Sheila Fleming's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sheila Fleming was last updated on December 15, 2023. 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.

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment

1135 PROFESSIONAL DR, GOSHEN, IN 46526(574) 364-4600(574) 364-4610 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, May 1, 2023, Aug 20, 2018 and 1 more (4 updates tracked since 2016).

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About Sheila M Fleming Np NPPES

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

SHEILA M FLEMING NP (NPI 1326231689) is an individual adult health provider in Goshen, Indiana, licensed in Indiana (71002560A) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1326231689

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHEILA M FLEMINGCredential: NP

Location Address1135 PROFESSIONAL DRGoshen, IN 46526-3800

Mailing Address1135 Professional DrGoshen, IN 46526-3800 · (574) 364-4600 · Fax (574) 364-4610

Phone(574) 364-4600

Fax(574) 364-4610

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 21, 2007

Last NPPES UpdateDecember 15, 20234 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1326231689 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 · 71002560A

1135 PROFESSIONAL DR, Goshen, IN 46526

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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

Sheila M Fleming 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 ID5092897835

PECOS Enrollment IDI20080131000550

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 2

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 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.

172 services168 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.

37 services37 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150026

Location200 High Park AveGoshen, IN 46526 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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.

COLLEEN A SHAY NP

Nurse Practitioner (Family)

1135 PROFESSIONAL DR
GOSHEN, IN 46526

Elkhart County (574) 364-4600

ALYSSA N YODER NP

Nurse Practitioner

1135 PROFESSIONAL DR
GOSHEN, IN 46526

Elkhart County (574) 364-4611

TAYLOR ALEXIS TORRES DNP, RN, FNP-C

Nurse Practitioner (Family)

1135 PROFESSIONAL DR
GOSHEN, IN 46526

Elkhart County (574) 364-4600

STEPHANIE JOY COLE DO

Surgery

1135 PROFESSIONAL DR
GOSHEN, IN 46526

Elkhart County (574) 364-4600

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 Sheila Fleming's NPI number?

The NPI number for Sheila Fleming is 1326231689. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Sheila Fleming located?

Sheila Fleming practices at 1135 Professional Dr, Goshen, IN 46526. The listed phone number is (574) 364-4600.

What is Sheila Fleming's specialty?

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

Is Sheila Fleming enrolled in Medicare?

Yes. Sheila Fleming 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 Sheila Fleming accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sheila Fleming 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 Sheila Fleming affiliated with any hospitals?

According to CMS data, Sheila Fleming is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Fleming was last updated on December 15, 2023. 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.