| Shani Berrios, | |
|
30 Professional Ct Ste 2, Lafayette, IN 47905-5129 | |
| (765) 838-1218 | |
| (765) 838-1966 |
| Full Name | Shani Berrios |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 30 Professional Ct Ste 2, Lafayette, 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 |
|---|---|---|---|
| 1447026851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28251535A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71014859A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Indiana Llc | 4880963909 | 60 |
| Entity Name | Cleanslate Medical Group of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Entity Name | Mending Minds, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780258798 PECOS PAC ID: 4284037987 Enrollment ID: O20210719001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Shani Berrios, 30 Professional Ct Ste 2, Lafayette, IN 47905-5129 Ph: (765) 838-1218 | Shani Berrios, 30 Professional Ct Ste 2, Lafayette, IN 47905-5129 Ph: (765) 838-1218 |
Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400 |
Renee Nicole Siner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Hartford St Ste G525, Lafayette, IN 47904 Phone: 765-423-6224 Fax: 765-423-6910 |
Lindsay J Gebhardt, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3601 Sagamore Pkwy N Ste G, Lafayette, IN 47904 Phone: 765-739-3482 |
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113 |
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191 |