SHELBEE SMOLEK NP
NPI 1386317840
Nurse Practitioner - Family in Kokomo, IN

Active since July 29, 2021PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
2340 W SYCAMORE ST, KOKOMO, IN 46901(765) 452-4437 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Apr 17, 2024, Jun 24, 2023 and 4 more (7 updates tracked since 2021).

About Shelbee Smolek Np NPPES

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

SHELBEE SMOLEK NP (NPI 1386317840) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71014033A) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386317840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBEE SMOLEKCredential: NP
Location Address2340 W SYCAMORE STKokomo, IN 46901-4108
Mailing Address6279 E State BlvdFort Wayne, IN 46815-7641 · (260) 492-0951
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2021
Last NPPES UpdateNovember 22, 20247 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1386317840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71014033A
2340 W SYCAMORE ST, Kokomo, IN 46901

Secondary Practice Locations 2

Location 1500 S Liberty Dr Ste 482Bloomington, IN 47403-1924 · Phone (812) 353-3443 · Fax (812) 353-3442
Location 29821 Lima Rd Ste 103Fort Wayne, IN 46818-9281 · Phone (260) 234-5400 · Fax (260) 209-5119

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

Shelbee Smolek 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 ID5597156794
PECOS Enrollment IDI20211223000777, I20220613000488
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 6

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.
88 services83 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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 Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.47
Improvement Activities40
Cost89.8

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers16 claims16 services$45.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers17 claims17 services$118.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers19 claims38 services$44.38 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers15 claims15 services$24.20 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers11 claims11 services$22.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers30 claims114 services$3.20 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 14

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

Pharmacist
2340 W SYCAMORE ST
KOKOMO, IN 46901
Pharmacist
2340 W SYCAMORE ST
KOKOMO, IN 46901
Nurse Practitioner (Family)
2340 W SYCAMORE ST
KOKOMO, IN 46901
Nurse Practitioner (Family)
2340 W SYCAMORE ST
KOKOMO, IN 46901
Pharmacist
2340 W SYCAMORE ST
KOKOMO, IN 46901
Nurse Practitioner (Family)
2340 W SYCAMORE ST
KOKOMO, IN 46901
Nurse Practitioner (Family)
2340 W SYCAMORE ST
KOKOMO, IN 46901
Pharmacy
2340 W SYCAMORE ST
KOKOMO, IN 46901

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 Shelbee Smolek's NPI number?

The NPI number for Shelbee Smolek is 1386317840. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Shelbee Smolek located?

Shelbee Smolek practices at 2340 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 452-4437.

What is Shelbee Smolek's specialty?

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

Is Shelbee Smolek enrolled in Medicare?

Yes. Shelbee Smolek 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 Shelbee Smolek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shelbee Smolek 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 Shelbee Smolek affiliated with any hospitals?

According to CMS data, Shelbee Smolek is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health Ball Memorial Hospital and Cameron Memorial Community Hospital Inc.

When was this NPI record last updated?

The NPPES record for Shelbee Smolek was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.