| Shayna Leigh Phegley, NP | |
|
118 W Drexel Pkwy, Rensselaer, IN 47978-7344 | |
| (219) 866-4300 | |
| (219) 866-7591 |
| Full Name | Shayna Leigh Phegley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 118 W Drexel Pkwy, Rensselaer, 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 |
|---|---|---|---|
| 1811554876 | NPI | - | NPPES |
| 28195032A | Other | IN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28195032A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009070A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trustees Of Purdue University | 2567373012 | 26 |
| Rci (wrs), Llc. | 5092624510 | 362 |
| Entity Name | Trustees Of Purdue University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Leigh Phegley, NP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Shayna Leigh Phegley, NP 118 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: (219) 866-4300 |
Ms. Mary Jo Elkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 E Grace St, Rensselaer, IN 47978 Phone: 219-866-0411 Fax: 219-866-1920 | |
Sharon A Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Washington St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803 | |
Patricia Louise Benedict, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 716 S College Ave, Rensselaer, IN 47978 Phone: 219-866-0485 Fax: 219-866-0837 | |
Ashley Bell-huseman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4300 | |
Wanda Gay Gifford, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4300 Fax: 219-866-7591 | |
Mrs. Reba Jean Mahaffey, RN MS FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-7222 Fax: 219-866-7001 | |
Debra L Drescher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 East Grace Street, Clinic Of Family Medicine, Rensselaer, IN 47978 Phone: 219-866-4135 |