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SHANE R WILSON-WHITE NURSE PRACTITIONER
NPI 1952910531
Nurse Practitioner - Family in Brazil, IN

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
2186 W US HIGHWAY 40, BRAZIL, IN 47834(812) 878-8223(812) 443-0668 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, Jan 9, 2025, May 24, 2023 and 2 more (5 updates tracked since 2020).

About Shane R Wilson-white Nurse Practitioner NPPES

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

SHANE R WILSON-WHITE NURSE PRACTITIONER (NPI 1952910531) is an individual family provider in Brazil, Indiana, licensed in Indiana (71010305A) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952910531
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANE R WILSON-WHITECredential: NURSE PRACTITIONER
Location Address2186 W US HIGHWAY 40Brazil, IN 47834-7201
Mailing Address2186 W Us Highway 40Brazil, IN 47834-7201 · (812) 878-8223 · Fax (812) 443-0668
Phone(812) 878-8223
Fax(812) 443-0668
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2020
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1952910531 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 · 71010305A
2186 W US HIGHWAY 40, Brazil, IN 47834
Open in Google Maps ↗

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

Shane R Wilson-white Nurse Practitioner 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 ID6204247679
PECOS Enrollment IDI20201117000486
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.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47834 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 3

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

DEANNA JONES
Nurse Practitioner (Family)
2186 W US HIGHWAY 40
BRAZIL, IN 47834
Clay County (812) 878-8223
BRIGHT SOUL WELLNESS CENTER INC
Clinic/Center (Primary Care)
2186 W US HIGHWAY 40
BRAZIL, IN 47834
Clay County (812) 878-8223
MARANDA R MCKINNEY FNP
Nurse Practitioner (Family)
2186 W US HIGHWAY 40
BRAZIL, IN 47834
Clay County (812) 878-8223

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 Shane Wilson-white's NPI number?

The NPI number for Shane Wilson-white is 1952910531. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Shane Wilson-white located?

Shane Wilson-white practices at 2186 W Us Highway 40, Brazil, IN 47834. The listed phone number is (812) 878-8223.

What is Shane Wilson-white's specialty?

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

Is Shane Wilson-white enrolled in Medicare?

Yes. Shane Wilson-white 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 Shane Wilson-white accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shane Wilson-white 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 Shane Wilson-white affiliated with any hospitals?

According to CMS data, Shane Wilson-white is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Shane Wilson-white was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.