Malinda K Shelley, NP is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Fort Wayne Physicians, Llc and her current practice location is
10101 Ernst Rd Ste 1200, Roanoke, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 234-5400.
Malinda K Shelley is licensed to practice in Indiana (license number 71011971A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841962669.
Provider's Profile
| Full Name | Malinda K Shelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 10101 Ernst Rd Ste 1200, Roanoke, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Malinda K Shelley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1841962669
- Provider Enumeration Date: 09/30/2021
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991196875
- Enrollment ID: I20220104000922
Medical Identifiers
Medical identifiers for Malinda K Shelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841962669 | NPI | - | NPPES |
| 300058858 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71011971A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Malinda K Shelley allows following entities to bill medicare on her behalf.
| Entity Name | Bowen Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639172810
PECOS PAC ID: 7618950965
Enrollment ID: O20050404000853 |
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| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316550445
PECOS PAC ID: 5193138527
Enrollment ID: O20210104001512 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malinda K Shelley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Malinda K Shelley, NP
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Malinda K Shelley, NP
10101 Ernst Rd Ste 1200,
Roanoke, IN 46783-9711
Ph: (260) 234-5400 |
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