Shelly Eisert, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006512A Issued in IN

Practice address

920 County Line Rd
Batesville, IN 47006-9008

Phone

(812) 932-4515

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Margaret Mary Community Hospital Inc

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449

  IN

  Medicare reassignment NPD
• Margaret Mary Community Hospital, Inc

  • Rural Health Clinic/Center
  • Brookville, IN
  • NPI 1164132510
  NPD
• Margaret Mary Community Hospital, Inc

  • Internal Medicine Physician
  • Batesville, IN
  • NPI 1316118730
  NPD

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelly.eisert@mmhealth.cernerdirect.com

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1124575394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 COUNTY LINE RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470069008",
            "telephone_number": "812-932-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTY LINE RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470069008",
            "telephone_number": "812-932-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 State Road 129 S",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470067628",
            "country_code": "US",
            "telephone_number": "812-934-6400",
            "fax_number": "812-934-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISERT",
        "first_name": "SHELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006512A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHELLY.EISERT@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "188 State Road 129 S",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470067628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elite Physical Medicine and Rehabilitation LLC
• Katherine M Enneking, MPT
• Lacy Enneking, NP
• Matthew Leon Enneking, D.C.
• Kelli Ertel

• All providers in Batesville, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.