Individual provider Active NPI

Shelly Ann Shields, NP

  • Family Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1497297824
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28153968A Issued in IN
Practice address
65 Airport Pkwy Ste 114
Greenwood, IN 46143-1439
Phone
(317) 807-0268
Fax
(317) 851-8930
NPI assigned
Nov 16, 2016
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006814A IN
Family Nurse Practitioner 363LF0000X 28153968A IN Primary

Addresses

Primary practice location

65 Airport Pkwy Ste 114
Greenwood, IN 46143-1439

Mailing address

65 Airport Pkwy Ste 114
Greenwood, IN 46143-1439
Phone (317) 807-0268

Other practice location 1

333 E County Line Rd Ste B
Greenwood, IN 46143-1080
Phone (317) 621-9535

Other practice location 2

5610 Crawfordsville Rd Ste 2201
Indianapolis, IN 46224-3784
Phone (317) 244-2792

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshields7455@direct.eskenazihealth.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001437 IN Practitioner - Nurse Practitioner 6608151428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians

Practice addresses (Care Compare)

1664 W Smith Valley Rd
Greenwood, IN 46142-1550
Phone (317) 807-0268

4925 S Scatterfield Rd
Anderson, IN 46013-2911
Phone (765) 442-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28153968AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Aug 1, 2025 Accepting new patients
The Health and Hospital Corporation of Marion County Nurse Practitioner CurrentSince Jan 5, 2024 Accepting new patients
Community Health Network, Inc CurrentSince May 17, 2023 Accepting new patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Jul 1, 2022 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 17, 2023 Accepting new patients
Aims-Med, LLC CurrentSince Nov 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 17, 2023 Accepting new patients
Cleanslate Medical Group of Pennsylvania LLC PastSince Aug 1, 2025 Accepting new patients
Aims, LLC PastSince Sep 17, 2023 Accepting new patients
Indiana University Health Care Associates, Inc Family Past Accepting new patients

Locations (25 of 39)

5819 Reliable Pkwy
Chicago, IL 60686

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

333 E County Line Rd
Ste B
Greenwood, IN 46143
Phone (317) 497-6333

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

1112 Southeastern Ave
Indianapolis, IN 46202
Phone (317) 423-8909

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

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

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone (317) 244-2792

6002 E 38th St
Ste 1200
Indianapolis, IN 46226
Phone (317) 880-1500

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

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

Interoperability endpoints

  • Direct secure messaging: sshields7455@direct.eskenazihealth.edu

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1497297824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 AIRPORT PKWY STE 114",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431439",
            "telephone_number": "317-807-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 AIRPORT PKWY STE 114",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431439",
            "telephone_number": "317-807-0268",
            "fax_number": "317-851-8930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E County Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431080",
            "country_code": "US",
            "telephone_number": "317-621-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 Crawfordsville Rd Ste 2201",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462243784",
            "country_code": "US",
            "telephone_number": "317-244-2792",
            "fax_number": "317-243-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006814A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28153968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshields7455@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "6002 E 38th St Ste 1200",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462265653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.