NPIMap

Individual provider Active NPI

Shelby Ann Miller, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1316499940
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002130A Issued in IN
Practice address
11725 Illinois St
Carmel, IN 46032-3008
Phone
(317) 944-9400
Fax
(317) 968-1098
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10002130A IN
Physician Assistant 363A00000X 10002130A IN Primary

Addresses

Primary practice location

11725 Illinois St
Carmel, IN 46032-3008

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

13000 E 136th St
Ste. 1100
Fishers, IN 46037-9478
Phone (574) 286-7589

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelbyamiller@direct.iuhealth.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201002291 IN Practitioner - Physician Assistant 8123308400 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Joint Replacement InstituteGroup PAC ID 8123400058, 25 clinicians

Practice addresses (Care Compare)

14065 Westinghouse Dr
Indiana Joint Replacement
Noblesville, IN 46060-9448
Phone (317) 620-0232

7230 Engle Rd
Suite 100
Fort Wayne, IN 46804-2234
Phone (317) 620-0232

9460 E 146TH St
Noblesville, IN 46060-4966
Phone (317) 620-0232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002130AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Joint Replacement Institute CurrentSince Aug 1, 2024 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Apr 1, 2019 Accepting new patients
Eskenazi Medical Group Inc Medical CurrentSince Apr 1, 2019 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

7230 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (317) 620-0232

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

14065 Westinghouse Dr
Noblesville, IN 46060
Phone (317) 620-0232

Interoperability endpoints

  • Direct secure messaging: shelby.miller.1@22724.direct.athenahealth.com

Organizations & group practices 9

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 7

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1316499940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323008",
            "telephone_number": "317-944-9400",
            "fax_number": "317-968-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 E 136th St",
            "address_2": "Ste. 1100",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379478",
            "country_code": "US",
            "telephone_number": "574-286-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002130A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelbyamiller@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11725 Illinois St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.