SHAUNTRECE C DETERS FNP
NPI 1972813780
Nurse Practitioner in Evansville, IN

Q: What is Shauntrece Deters's NPI number?

The NPI number for Shauntrece Deters is 1972813780. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Q: What is Shauntrece Deters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shauntrece Deters was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 14, 2010PECOS EnrolledAccepts Medicare Assignment

520 MARY ST STE 340, EVANSVILLE, IN 47710(812) 450-3201(812) 450-3395 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shauntrece C Deters Fnp NPPES

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

SHAUNTRECE C DETERS FNP (NPI 1972813780) is an individual nurse practitioner in Evansville, Indiana, licensed in Indiana (71003416A) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972813780

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHAUNTRECE C DETERSCredential: FNP

Location Address520 MARY ST STE 340Evansville, IN 47710

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-3201 · Fax (812) 450-3395

Phone(812) 450-3201

Fax(812) 450-3395

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 14, 2010

Last NPPES UpdateMay 14, 2018

✔ NPI 1972813780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71003416A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71003416A (IN)

520 MARY ST STE 340, Evansville, IN 47710

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Other Identifiers 1

Medicaid201059290IN

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

Shauntrece C Deters Fnp 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 ID2668633157

PECOS Enrollment IDI20120410000343

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

Medicare enrollment records show Shauntrece Deters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Clinic, Inc

Same address

Internal Medicine

520 MARY ST, STE 340
Evansville, IN 47710

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

NPI 1205082583 (812) 450-6700

Deaconess Hospital, Inc

0.1 mi

Hospitalist

600 MARY STREET
Evansville, IN 47747

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

NPI 1427097443 (812) 450-3036

Jeffrey W. Selby MD Psc

7.3 mi

Pulmonary Disease

10288 W STATE ROUTE 66
Newburgh, IN 47630

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

NPI 1114056710 (812) 853-5864

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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

142 services72 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

77 services46 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

67 services65 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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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 11

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

CAYLA D DARNELL NP

Nurse Practitioner