Shelly Earlywine, ARNP in Avon, IN - Medicare Nurse Practitioner

Shelly Earlywine, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Avon, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proactive Clinical Partners - Aco, Proactive Clinical Partners and her current practice location is 1108 Kingwood Dr, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 941-7338.

Shelly Earlywine is licensed to practice in Indiana (license number 71010993A) 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 1831778760.

Contact Information

	Shelly Earlywine, ARNP
	1108 Kingwood Dr, Avon, IN 46123-5500
	(317) 941-7338
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelly Earlywine
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1108 Kingwood Dr, Avon, 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.

Medical Education and Training:

Shelly Earlywine graduated from nursing school in 2020

NPI Data:

NPI Number: 1831778760
Provider Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8729399514
Enrollment ID: I20210408001759

Medical Identifiers

Medical identifiers for Shelly Earlywine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831778760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71010993A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Columbus Regional Hospital	Columbus, IN	Hospital
Reid Hospital & Health Care Services	Richmond, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proactive Clinical Partners - Aco	5890154884	22
Proactive Clinical Partners	8527315852	27

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. Shelly Earlywine allows following entities to bill medicare on her behalf.

Entity Name	Proactive Clinical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366934242 PECOS PAC ID: 8527315852 Enrollment ID: O20180718001740

Entity Name	Proactive Clinical Partners - Aco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821709031 PECOS PAC ID: 5890154884 Enrollment ID: O20230710000733

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. Shelly Earlywine 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
Shelly Earlywine, ARNP 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 Ph: (317) 941-7338	Shelly Earlywine, ARNP 1108 Kingwood Dr, Avon, IN 46123-5500 Ph: (317) 941-7338

Reviews and Comments

Nurse Practitioner Nurses in Avon, IN

Christi Lynn Crimmins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7975 E Us Highway 36, Avon, IN 46123 Phone: 317-355-9250 Fax: 317-806-1133
Megan Burton, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927
Melissa Grimes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8607 E Us Highway 36 Ste 300, Avon, IN 46123 Phone: 317-718-7960
Jill Suzanne Dana, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906
Victoria Neuses, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 317-742-1340 Fax: 317-203-1066
Sara Diann Ridlen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7990 E Us Highway 36, Avon, IN 46123 Phone: 866-389-2727
Brittany Renee Montgomery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906

Shelly Earlywine, ARNP - Medicare Nurse Practitioner in Avon, IN