Shivaughn Petkus, FNP in Noblesville, IN - Medicare Nurse Practitioner

Shivaughn Petkus, FNP is a medicare enrolled "Nurse Practitioner - Family" in Noblesville, Indiana. Her current practice location is 9535 E 151st St, Noblesville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 523-9160.

Shivaughn Petkus is licensed to practice in Indiana (license number 71014225A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578349551.

Contact Information

	Shivaughn Petkus, FNP
	9535 E 151st St, Noblesville, IN 46060-0050
	(317) 523-9160
	(317) 451-4240

Map and Direction

Provider's Profile

Full Name	Shivaughn Petkus
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9535 E 151st St, Noblesville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578349551
Provider Enumeration Date: 09/05/2023
Last Update Date: 11/17/2025

Medicare PECOS Information:

PECOS PAC ID: 2163877457
Enrollment ID: I20231017001060

Medical Identifiers

Medical identifiers for Shivaughn Petkus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578349551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014225A (Indiana)	Primary

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. Shivaughn Petkus allows following entities to bill medicare on her behalf.

Entity Name	Hamilton Medical Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265851935 PECOS PAC ID: 3072736412 Enrollment ID: O20140603001758

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. Shivaughn Petkus 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
Shivaughn Petkus, FNP 9535 E 151st St, Noblesville, IN 46060-0050 Ph: (317) 523-9160	Shivaughn Petkus, FNP 9535 E 151st St, Noblesville, IN 46060-0050 Ph: (317) 523-9160

Reviews and Comments

Nurse Practitioner Nurses in Noblesville, IN

Heather Lynn Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18051 River Rd Ste 105, Noblesville, IN 46062 Phone: 317-570-7900 Fax: 317-570-2286
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Krista M Spalding, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Westfield Rd Ste 114, Noblesville, IN 46060 Phone: 317-770-2937 Fax: 317-770-2938
Jacqueline L Seacat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Westfield Rd, Noblesville, IN 46062 Phone: 317-776-3854 Fax: 317-776-3854
Stacy Tabor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1667 Sheridan Rd, Noblesville, IN 46062 Phone: 317-770-3400
Tracy A Donahue, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14540 Prairie Lakes Blvd N, Suite 207, Noblesville, IN 46060 Phone: 317-621-2455 Fax: 317-355-6166
Ashley Renee Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 Westfield Rd Ste D, Noblesville, IN 46062 Phone: 317-776-3851 Fax: 317-776-3854

Shivaughn Petkus, FNP - Medicare Nurse Practitioner in Noblesville, IN