Individual provider Active NPI

Nicole Shepard, APRN

  • Family Nurse Practitioner
  • Georgetown, IN
National Provider Identifier
1699667667
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016840A Issued in IN
Practice address
5300 State Road 64 Ste 101
Georgetown, IN 47122-9178
Phone
(812) 501-5151
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016840A IN Primary

Addresses

Primary practice location

5300 State Road 64 Ste 101
Georgetown, IN 47122-9178

Mailing address

1714 Poindexter LN
Sellersburg, IN 47172-9025
Phone (812) 704-3779

Other practice location 1

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

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
I20250903000815 IN Practitioner - Nurse Practitioner 5597266254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

5300 State Rd
64 Suite 101
Georgetown, IN 47122-9178
Phone (812) 738-4251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Aug 25, 2025 Accepting new patients
Harrison County Hospital CurrentSince Aug 25, 2025 Accepting new patients
Harrison County Hospital Family Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

5300 State Road 64
Ste 101
Georgetown, IN 47122
Phone (812) 590-6555

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1699667667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 POINDEXTER LN",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471729025",
            "telephone_number": "812-704-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 STATE ROAD 64 STE 101",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229178",
            "telephone_number": "812-501-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Hospital Dr NW",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122164",
            "country_code": "US",
            "telephone_number": "812-738-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016840A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, IN

Sources for this page

Verify at the official NPI Registry.