Shelly Christian Gerteisen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009653A Issued in IN

Practice address

541A Main St
Rockport, IN 47635-1429

Phone

(812) 618-1128

Fax

(812) 618-3081

NPI assigned

Nov 6, 2019

Last updated

Apr 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shelly Potts Former name

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rapha HealthcareGroup PAC ID 3779945274, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Rapha Healthcare

  • Family Medicine Physician
  • Rockport, IN
  • NPI 1295419695

  KY

  Medicare reassignment Care Compare group NPD
• Family Health Care Associates of Barbourville Inc

  • Rural Health Clinic/Center
  • Barbourville, KY
  • NPI 1659461143
  NPD
• Family Health Care Associates

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1851765481
  NPD (past)
• Family Health Care Associates 9

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1447904875
  NPD (past)
• Home Health of Jefferson Co, LLC

  dba Norton Home Health

  • Home Health Agency
  • Louisville, KY
  • NPI 1871940841
  NPD (past)

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

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1447894167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541A MAIN ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351429",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541A MAIN ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351429",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423201949",
            "country_code": "US",
            "telephone_number": "812-618-1128",
            "fax_number": "812-618-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERTEISEN",
        "first_name": "SHELLY",
        "middle_name": "CHRISTIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009653A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034225",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100640130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "POTTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Faulkenberg Harth Inc (Rockport Pharmacy)
• Kayla Hagan Fearon, PTA
• Corey Fortwendel, PHARMD
• G H Schumacher & Sons Inc (Rockport Pharmacy)
• George S Gilliam MD PSC
• George Stephen Gilliam, M.D.
• Jordan A Goins, LSW
• Justin Lee Grose, PMHNP-BC
• Allison Hagan, MHCA
• Justin Heck, MSW, LSW

• Family Nurse Practitioner in Rockport, IN
• Providers in Rockport, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.

Verify at the official NPI Registry.