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SHELBY NATION NP
NPI 1679468623
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since June 10, 2025PECOS Enrolled
340 W 10TH ST, INDIANAPOLIS, IN 46202(317) 963-7673 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Jun 10, 2025 (2 updates tracked since 2025).

About Shelby Nation Np NPPES

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

SHELBY NATION NP (NPI 1679468623) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (28227739A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679468623
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHELBY NATIONCredential: NP
Location Address340 W 10TH STIndianapolis, IN 46202-3082
Mailing Address207 Lucky LnPendleton, IN 46064-9190 · (765) 238-0709
Phone(317) 963-7673
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 10, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1679468623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 28227739A✔ Licensed in IN · 71016806A
340 W 10TH ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11002 Wishard BlvdIndianapolis, IN 46202-4163 · Phone (317) 944-3966

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Nation Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113420589
PECOS Enrollment IDI20250911002976
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 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.

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.

KYLE R EDWARDS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
KALI KONSTANTINOPOULOS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LAURA E LEMEN
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 476-4780
MADELINE E KELLER
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 750-6186
STEPHANIE SOTELO
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MR. RYAN PATRICK MCARDLE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
ASHLYN JOHNSON MORRIS
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MACKENZIE JOHNSON
Student in an Organized Health Care Education/Training Program
340 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157

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 Shelby Nation's NPI number?

The NPI number for Shelby Nation is 1679468623. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Shelby Nation located?

Shelby Nation practices at 340 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 963-7673.

What is Shelby Nation's specialty?

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

Is Shelby Nation enrolled in Medicare?

Yes. Shelby Nation is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Nation was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.