SHELLY J KING NP
NPI 1427044874
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Shelly King's NPI number?

The NPI number for Shelly King is 1427044874. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Shelly King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shelly King was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, SUITE 4230, INDIANAPOLIS, IN 46202(317) 944-7411(317) 944-7481 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Dec 17, 2020, Dec 3, 2020 (3 updates tracked since 2020).

On this page

About Shelly J King Np NPPES

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

SHELLY J KING NP (NPI 1427044874) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71001248A) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1427044874

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHELLY J KINGCredential: NP

Location Address705 RILEY HOSPITAL DR, SUITE 4230Indianapolis, IN 46202-5109

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 944-7411

Fax(317) 944-7481

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 21, 2005

Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1427044874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71001248A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71001248A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Open in Google Maps ↗

Other Identifiers 2

Other000000593125IN · Anthem Pin

Medicaid200366990IN

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 J King 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 ID1951441286

PECOS Enrollment IDI20091217000613

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.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier15 claims30 services$9.37 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

1 supplier14 claims17 services$7.10 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers24 claims960 services$4.92 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers26 claims560 services$8.47 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424

DME-Orthotic Devices · category DF010N

2 suppliers22 claims610 services$4.29 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

2 suppliers25 claims550 services$3.47 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 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)