Individual provider Active NPI

Shelley Dunn, NP-C

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1770969339
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005690A Issued in IN
Practice address
15 W 19TH St
Anderson, IN 46016-4306
Phone
(765) 646-8299
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28138587A IN
Family Nurse Practitioner 363LF0000X 71005690A IN Primary

Addresses

Primary practice location

15 W 19TH St
Anderson, IN 46016-4306

Mailing address

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3500

Other practice location 1

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3500

Other identifiers 1

IdentifierTypeStateIssuer
201318570MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shelley.dunn.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.
Direct Messaging Address shelley.dunn@lutheranhealthnetwork.cernerdirect.com

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
I20150914000377 IN Practitioner - Nurse Practitioner 3274840988 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28138587AINMDFamily Nurse Practitioner
71005690AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Apr 1, 2020 Accepting new patients
Meridian Health Services Corp CurrentSince Apr 1, 2020 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 6, 2025 Accepting new patients
St. Vincent Medical Group, Inc. Family CurrentSince Jul 6, 2025 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

15 W 19th St
Anderson, IN 46016
Phone (765) 646-8299

2020 Meridian St
Ste 320
Anderson, IN 46016
Phone (765) 646-8727

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

240 N Tillotson Ave
Muncie, IN 47304

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

Organizations & group practices 5

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1770969339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-824-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 19TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164306",
            "telephone_number": "765-646-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467142503",
            "country_code": "US",
            "telephone_number": "260-824-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "SHELLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28138587A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005690A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201318570",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelley.dunn.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "15 W 19th St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelley.dunn@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "303 S Main St",
            "city": "Bluffton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467142503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.