Individual provider Active NPI

Malinda K Shelley, NP

  • Family Nurse Practitioner
  • Roanoke, IN
National Provider Identifier
1841962669
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011971A Issued in IN
Practice address
10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711
Phone
(260) 234-5400
Fax
(260) 234-5410
NPI assigned
Sep 30, 2021
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 71011971A IN Primary

Addresses

Primary practice location

10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

7980 W Jefferson Blvd
Fort Wayne, IN 46804-4170
Phone (260) 478-5160

Other identifiers 1

IdentifierTypeStateIssuer
300058858MedicaidIN

Other names 1

  • Malinda K Dirig Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address malinda.shelley@lutheranhealthnetwork.cernerdirect.com
Direct Messaging Address mshelley@direct.iuhealth.org Direct

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
I20220104000922 IN Practitioner - Nurse Practitioner 5991196875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011971AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Apr 10, 2023 Accepting new patients
Indiana University Health Fort Wayne Physicians, LLC CurrentSince Mar 24, 2024 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Bowen Health Inc Current Accepting new patients

Locations

2100 Goshen Rd
Fort Wayne, IN 46808
Phone (260) 471-3500

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401

10101 Ernst Rd
Ste 1200
Roanoke, IN 46783

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Interoperability endpoints

  • Direct secure messaging: mshelley2@direct.iuhealth.org

Organizations & group practices 4

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 1

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1841962669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ERNST RD STE 1200",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467839711",
            "telephone_number": "260-234-5400",
            "fax_number": "260-234-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7980 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044170",
            "country_code": "US",
            "telephone_number": "260-478-5160",
            "fax_number": "260-458-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "MALINDA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011971A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058858",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malinda.shelley@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "address_1": "7980 W Jefferson Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshelley@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10101 Ernst Rd Ste 1200",
            "city": "Roanoke",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467839711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MALINDA",
            "last_name": "DIRIG",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, IN

Sources for this page

Verify at the official NPI Registry.