Shelley L Clark, NP - Medicare Nurse Practitioner in Columbus, IN

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Shelley L Clark, NP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Indiana. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Illinois Urgent Care Professionals Pllc and her current practice location is 2142 25th St Ste I, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 375-8810.

Shelley L Clark is licensed to practice in Indiana (license number 71004374A) 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 1093158925.

Contact Information

Shelley L Clark, NP
2142 25th St Ste I,
Columbus, IN 47201-3242
(812) 375-8810
Not Available

Map and Direction




Provider's Profile

Full NameShelley L Clark
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location2142 25th St Ste I, Columbus, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelley L Clark graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1093158925
  • Provider Enumeration Date: 04/10/2013
  • Last Update Date: 07/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0840431003
  • Enrollment ID: I20130730000950

Medical Identifiers

Medical identifiers for Shelley L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093158925NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71004374A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Illinois Urgent Care Professionals Pllc983043794628

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. Shelley L Clark allows following entities to bill medicare on her behalf.
Entity NameColumbus Regional Health Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336510098
PECOS PAC ID: 1052612314
Enrollment ID: O20151211000054

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. Shelley L Clark 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 AddressPractice Location Address
Shelley L Clark, NP
Po Box 775383,
Chicago, IL 60677-5383

Ph: (812) 376-5315		Shelley L Clark, NP
2142 25th St Ste I,
Columbus, IN 47201-3242

Ph: (812) 375-8810

Reviews and Comments


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Carrie Butcher,
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Phone: 812-372-7804    
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Mrs. Diane Kaye Hirtzel,
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Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201
Phone: 812-314-3400    
Denise Neawedde, FNP-C
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Medicare: May Accept Medicare Assignments
Practice Location: 2118 25th St Ste J, Columbus, IN 47201
Phone: 812-375-3660    
Heather Ann Brott, APRN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2118 25th St Ste C, Columbus, IN 47201
Phone: 812-376-9427    Fax: 812-378-6174

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.