Individual provider Active NPI

Shannon Welsh, NP-C

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1669982070
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007543A Issued in IN
Practice address
3901 S 7TH St
Terre Haute, IN 47802-5709
Phone
(812) 232-0021
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007543A IN Primary

Addresses

Primary practice location

3901 S 7TH St
Terre Haute, IN 47802-5709

Mailing address

PO Box 281084
Atlanta, GA 30384-1084
Phone (812) 232-0021

Other practice location 1

112 W Jefferson Blvd
South Bend, IN 46601-1923
Phone (574) 546-1900

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
I20171031002605 IN Practitioner - Nurse Practitioner 3173899499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pike Medical Consultants PCGroup PAC ID 1850495003, 25 clinicians

Practice addresses (Care Compare)

7911 N Michigan Rd
Indianapolis, IN 46268-1915
Phone (317) 956-6288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007543AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Medical Consultants PC Nurse Practitioner CurrentSince Jun 13, 2022 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Locations

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

Interoperability endpoints

  • Direct secure messaging: shannon.welsh@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1669982070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281084",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841084",
            "telephone_number": "812-232-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025709",
            "telephone_number": "812-232-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011923",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSH",
        "first_name": "SHANNON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.