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

Q: 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.

Q: What is Shane Wilson-white's specialty?

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

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: October 18, 2026.

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

On this page

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, maintains 6 additional practice locations, 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 ↗

Secondary Practice Locations 6

Location 1630 W State Highway 46Spencer, IN 47460-6439 · Phone (888) 862-9525 ext. 3

Location 26200 E Highway 62Jeffersonville, IN 47130-8769 · Phone (812) 214-0460

Location 3501 E Jackson StBrazil, IN 47834-2650 · Phone (888) 862-9525

Location 41004 W 1st StBloomington, IN 47403-2208 · Phone (812) 362-5149

Location 53495 S 4th StTerre Haute, IN 47802-5501 · Phone (812) 220-4755

Location 65510 S Emerson AveIndianapolis, IN 46237-2517 · Phone (317) 659-6302

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shane Wilson-white reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bright Soul Wellness Center Inc

Same address

Primary Care

2186 W US HIGHWAY 40
Brazil, IN 47834

Reassigned Medicare billing, Indiana enrollment
3 clinicians in this Medicare group

NPI 1598465551 (812) 878-8223

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

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.

Which organization bills Medicare for Shane Wilson-white's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Wilson-white reassigns Medicare benefits to Bright Soul Wellness Center Inc (Brazil, IN). The 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 Shane Wilson-white's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

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 19 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.