MR. GROVER ALEXANDER III SHELTON (NP) – Nurse Practitioner, NPI 1316415136
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for MR. GROVER ALEXANDER III SHELTON (NP)
500, East 75th Street, Indianapolis, Indiana, 46240, United States
INDIANAPOLIS, IN 462502890
Phone: (317) 621-7588
Type: Mailing
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 46250
Phone: (317) 621-8500
Type: Location
14602 Garfield Ave
Lakewood, OH 441075927
Phone: (317) 332-8367
Type: Location
5255 E Stop 11 Rd Ste 300
Indianapolis, IN 462376341
Phone: (317) 528-4723
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Boston Scientific Corporation ($163).
Total Amount
$323
General + Research + Ownership
Payments
2
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $163 |
| Abbott Laboratories | $160 |
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: 2019-03-20
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 |
|---|---|---|---|---|
| I20190320001908 | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46250)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Geriatric Medicine | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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