| Malinda K Shelley, NP | |
|
10101 Ernst Rd Ste 1200, Roanoke, IN 46783-9711 | |
| (260) 234-5400 | |
| (260) 234-5410 |
| Full Name | Malinda K Shelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 10101 Ernst Rd Ste 1200, Roanoke, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841962669 | NPI | - | NPPES |
| 300058858 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71011971A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
| Entity Name | Bowen Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Krista L Durbin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 164 High St, Po Box 466, Roanoke, IN 46783 Phone: 260-452-8861 | |
Sherri Lynn Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr Ste C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939 |