MR. GROVER ALEXANDER III SHELTON (NP) – Nurse Practitioner, NPI 1316415136

MR. GROVER ALEXANDER III SHELTON (NP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 429527 (OH). The NPI Number for MR. GROVER ALEXANDER III SHELTON (NP) is 1316415136

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. GROVER ALEXANDER III SHELTON (NP)
NPI
1316415136
Phone
(317) 621-7588
Address
6626 E 75TH ST STE 500
Enumeration Date
9 November 2018
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3176218500
Graduation Year
2018 (8 years ago)
PAC ID
8426398942
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20190320001908
Address ID
IN462502694IN8075XAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190320001908INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759416662View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I use this page to confirm MR. GROVER ALEXANDER III SHELTON (NP)'s NPI?
Yes. MR. GROVER ALEXANDER III SHELTON (NP) is listed with NPI 1316415136 in the public NPI dataset.
Is MR. GROVER ALEXANDER III SHELTON (NP) listed as active for patients and plans?
The listing shows MR. GROVER ALEXANDER III SHELTON (NP) as active in the NPI system.
What is MR. GROVER ALEXANDER III SHELTON (NP)'s specialty?
The listing groups MR. GROVER ALEXANDER III SHELTON (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. GROVER ALEXANDER III SHELTON (NP) based?
MR. GROVER ALEXANDER III SHELTON (NP) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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