SHELLEY L CLARK (NP) – Family Nurse Practitioner, NPI 1093158925
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for SHELLEY L CLARK (NP)
8840 COMMERCE PARK PL STE E
INDIANAPOLIS, IN 462683129
Phone:
Type: Mailing
301 HENRY ST
NORTH VERNON, IN 472651030
Phone: (812) 352-4300
Type: Location
PO BOX 775383
CHICAGO, IL 606775383
Phone: (812) 376-5315
Type: Mailing
815 SCHNIER ST
COLUMBUS, IN 472012619
Phone: (812) 376-5780
Fax: (812) 376-5781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $593.
Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($121).
Total Amount
$593
General + Research + Ownership
Payments
26
Total payment records
General Amount
$593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130730000950 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 272 | 114 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 265 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 248 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46268)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 81002 | Urinalysis, manual test | 33 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| General Surgery, Thoracic Surgery | IN | |
| - | IN | |
| - | NY | |
| Interventional Radiology | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | IN |
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