Individual provider Active NPI

Shelly Hayes

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1770060360
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008161A Issued in IN
Practice address
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone
(800) 622-6575
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 71008161A IN Primary

Addresses

Primary practice location

3600 W Bethel Ave
Muncie, IN 47304-5407

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

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
I20180806001382 IN Practitioner - Nurse Practitioner 0547518698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians
US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

3607 N Everbrook LN
Muncie, IN 47304-5220

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008161AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC CurrentSince Sep 16, 2024 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Jun 1, 2022 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Sep 16, 2024 Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner PastSince Oct 6, 2024 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

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

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

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

706 N River Dr
Marion, IN 46952
Phone (765) 651-6637

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

625 S Main St
#200
Zionsville, IN 46077
Phone (800) 622-6575

Interoperability endpoints

  • Direct secure messaging: shelly.hayes.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1770060360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SHELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008161A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.