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SHELLY EARLYWINE ARNP
NPI 1831778760
Nurse Practitioner - Family in Avon, IN

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1108 KINGWOOD DR, AVON, IN 46123(317) 941-7338 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelly Earlywine Arnp NPPES

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

SHELLY EARLYWINE ARNP (NPI 1831778760) is an individual family provider in Avon, Indiana, licensed in Indiana (71010993A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831778760
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY EARLYWINECredential: ARNP
Location Address1108 KINGWOOD DRAvon, IN 46123-5500
Mailing Address2445 Directors Row Ste CIndianapolis, IN 46241-4936 · (317) 941-7338 · Fax (317) 942-0927
Phone(317) 941-7338
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1831778760 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 · 71010993A
1108 KINGWOOD DR, Avon, IN 46123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelly Earlywine Arnp 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 ID8729399514
PECOS Enrollment IDI20210408001759
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shelly Earlywine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Proactive Clinical Partners - Aco
15 mi
Geriatric Medicine
8455 KEYSTONE XING STE 300
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group
NPI 1821709031 (317) 941-7338
Proactive Clinical Partners
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,908 services319 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,391 services300 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
738 services272 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
407 services177 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
404 services233 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
287 services205 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier26 claims26 services$18.01 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers24 claims24 services$7.97 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 3

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

CARLA M JENKINS NP-C
Nurse Practitioner (Gerontology)
1108 KINGWOOD DR
AVON, IN 46123
Hendricks County (317) 619-2133
ELIZABETH NEEDLER
Speech-Language Pathologist
1108 KINGWOOD DR
AVON, IN 46123
Hendricks County (317) 204-1100
AFFINITY MENTAL HEALTH SERVICES PC
Social Worker (Clinical)
1108 KINGWOOD DR
AVON, IN 46123
Hendricks County (317) 204-1100

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 Shelly Earlywine's NPI number?

The NPI number for Shelly Earlywine is 1831778760. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Shelly Earlywine located?

Shelly Earlywine practices at 1108 Kingwood Dr, Avon, IN 46123. The listed phone number is (317) 941-7338.

What is Shelly Earlywine's specialty?

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

Is Shelly Earlywine enrolled in Medicare?

Yes. Shelly Earlywine 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.

Which organizations bill Medicare for Shelly Earlywine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Earlywine reassigns Medicare benefits to 2 organizations: Proactive Clinical Partners - Aco (Indianapolis, IN) and Proactive Clinical Partners (IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Earlywine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Earlywine accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Shelly Earlywine 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 Shelly Earlywine affiliated with any hospitals?

According to CMS data, Shelly Earlywine is affiliated with Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Earlywine was last updated on April 7, 2021. 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.