Active NPI
Shelley R Stiner, DO
- Family Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02003408A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Community Hospital South, Inc.
- Indiana University Health
- Franciscan Health Mooresville
- Community Hospital East
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003408A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy Primary Care LLC | Family Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/GDFEDD/Endpoint/GDFEDD
- 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.
-
- Family Medicine Physician
- Greenwood, IN
- NPI 1730895517
-
- Interventional Pain Medicine Physician
- Carmel, IN
- NPI 1922129899
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1467693135
Family Medicine
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Mooresville, IN
- NPI 1679678197
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.