STINA WEDLOCK (MD) – Internal Medicine Physician, NPI 1417995135

STINA WEDLOCK (MD) is a healthcare provider. based in Shelbyville, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01048857A (IN). The NPI Number for STINA WEDLOCK (MD) is 1417995135

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
STINA WEDLOCK (MD)
NPI
1417995135
Phone
(317) 392-3651
Address
2158 Intelliplex Dr
Enumeration Date
3 June 2006
Last Update Date
9 September 2020

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
3173923211
Graduation Year
1995 (31 years ago)
PAC ID
0547283319
Group Practice PAC ID
0446167415
Professional Enrollment ID
I20060106000526
Address ID
IN461768580SH2451XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,517 INTERNAL MEDICINE in IN

Provider Addresses for STINA WEDLOCK (MD)

  • 2158 Intelliplex Dr

    SUITE 200

    Shelbyville, IN 461768846

    Phone: (317) 392-3651

    Fax: (317) 398-0538

    Type: Location

  • 30 W RAMPART ST STE 200

    SHELBYVILLE, IN 461768846

    Phone: (317) 421-2012

    Fax: (317) 398-1851

    Type: Mailing

  • Intelliplex Drive, Shelbyville, Shelby County, Indiana, 46176, United States of America

    SHELBYVILLE, IN 461768580

    Phone: (317) 398-0121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $2,098.

Total Amount is formed as General ($2,098) + Research ($0) + Ownership ($0) = $2,098.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($501).

Total Amount

$2,098

General + Research + Ownership

Payments

79

Total payment records

General Amount

$2,098

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2006-01-06

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
I20060106000526IInternal MedicineINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46176)

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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: 0446167415View full group profile
NameSpecialtyState
Internal MedicineIN
Nurse PractitionerIN
Physician AssistantIL
Mental Health CounselorIN
Physician AssistantIN
Nurse PractitionerIN
Nurse PractitionerIN
Mental Health CounselorIN
U R O L O G YNH
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do I look up STINA WEDLOCK (MD) by NPI?
Use NPI 1417995135 when you need to reference STINA WEDLOCK (MD) in forms, claims, or directories.
Is STINA WEDLOCK (MD) currently active in the NPI registry?
CMS-published data lists STINA WEDLOCK (MD) as an active registrant.
What field does STINA WEDLOCK (MD) work in?
You can think of STINA WEDLOCK (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is STINA WEDLOCK (MD)'s primary listing?
We display Shelbyville, Indiana because that is what the record indicates for STINA WEDLOCK (MD).
Is STINA WEDLOCK (MD) a real provider?
This page reflects official NPPES data for NPI 1417995135. Always confirm identity and privileges with the practice and licensing boards.

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