Individual provider Active NPI

Shelley R Stiner, DO

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1104095033
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02003408A Issued in IN
Practice address
107 N State Road 135
Ste 103
Greenwood, IN 46142-1352
Phone
(317) 550-4510
Fax
(317) 886-4550
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02003408A IN Primary

Addresses

Primary practice location

107 N State Road 135
Ste 103
Greenwood, IN 46142-1352

Mailing address

107 N State Road 135
Ste 103
Greenwood, IN 46142-1352
Phone (317) 550-4510

Other practice location 1

747 E. County Line Road
Suite D
Greenwood, IN 46143
Phone (317) 888-9669

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstiner959@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000573 IN Practitioner - Family Practice 7911073028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1402 E County Line Rd
Community Hospital South
Indianapolis, IN 46227-0963
Phone (317) 550-4510

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003408AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Primary Care LLC Family Medicine CurrentSince Jan 25, 2023 Accepting new patients
Interventional Pain Care Associates, LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
St. Francis Medical Group, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

107 N State Road 135
Ste 103
Greenwood, IN 46142
Phone (317) 550-4510

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFEDD/Endpoint/GDFEDD
  • Direct secure messaging: sstiner959@direct.franciscanalliance.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1104095033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N STATE ROAD 135",
            "address_2": "STE 103",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421352",
            "telephone_number": "317-550-4510",
            "fax_number": "317-886-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N STATE ROAD 135",
            "address_2": "STE 103",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421352",
            "telephone_number": "317-550-4510",
            "fax_number": "317-886-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 E. County Line Road",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "46143",
            "country_code": "US",
            "telephone_number": "317-888-9669",
            "fax_number": "317-885-7966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINER",
        "first_name": "SHELLEY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003408A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstiner959@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "747 E. County Line Road",
            "address_2": "Suite D",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.