Active NPI
Shaleni Anne Watts, NP
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010372A
- Practice address
- 155 W Washington St Ste 155
Indianapolis, IN 46204-3496 - Phone
- (866) 434-3255
- NPI assigned
- Oct 5, 2020
- 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 Nurse Practitioner | 363LF0000X | 71010372A | IN | Primary |
Addresses
Primary practice location
155 W Washington St Ste 155
Indianapolis, IN 46204-3496
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Other practice location 1
645 S Rogers St
Bloomington, IN 47403-2353
Phone (800) 467-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208002902 | IN | Practitioner - Nurse Practitioner | 3072925478 | Reassigns benefits to 2 organizations |
| I20250905000076 | IL | Practitioner - Nurse Practitioner | 3072925478 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pic Indiana PCPhysicians Immediate Care North Chicago LLC
Practice addresses (Care Compare)
123 S Franklin Rd
Bloomington, IN 47404-5296
Phone (812) 778-3116
7425 Barrington Rd
Hanover Park, IL 60133-2241
Phone (630) 823-0392
Hospital & facility affiliations
- Schneck Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010372A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone Health Services, Inc | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Centerstone Health Services, Inc. | Past | Accepting new patients | |
| Putnam County Hospital | Past | Accepting new patients | |
| Ourhealth Physicians Group, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392
9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130
645 S Rogers St
Ste A
Bloomington, IN 47403
Phone (812) 269-5092
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Ste A
Columbus, IN 47201
Phone (812) 314-3400
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492
1550 E State Road 44
Connersville, IN 47331
Phone (765) 222-1400
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
831 Dillon Dr
Richmond, IN 47374
Phone (765) 983-8000
831 Dillon Dr
Ste A
Richmond, IN 47374
Phone (765) 200-7900
Interoperability endpoints
- https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4
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.
-
- Federally Qualified Health Center (FQHC)
- Connersville, IN
- NPI 1518528579
IN
-
- Federally Qualified Health Center (FQHC)
- Bloomington, IN
- NPI 1497305791
-
- Federally Qualified Health Center (FQHC)
- Connersville, IN
- NPI 1811766504
-
- Federally Qualified Health Center (FQHC)
- Columbus, IN
- NPI 1114553948
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1508319625
-
- Health Service Clinic/Center
- Greencastle, IN
- NPI 1114438579
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1659978591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S ROGERS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W WASHINGTON ST STE 155",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043496",
"telephone_number": "866-434-3255"
}
],
"practiceLocations": [
{
"address_1": "645 S Rogers St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032353",
"country_code": "US",
"telephone_number": "800-467-3123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "SHALENI",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010372A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.