Shelby Fugate, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003282A Issued in IN

Practice address

2101 Jackson St Ste 205
Anderson, IN 46016-4387

Phone

(765) 683-3160

Fax

(765) 646-8367

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mina Swofford, M.D. P.CGroup PAC ID 8224935234, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

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.

• Mina Swofford, M.D. P.C

  • Dermatology Physician
  • Anderson, IN
  • NPI 1326250499
  Medicare reassignment Care Compare group
• Dermatology Care PC

  • Dermatology Physician
  • Terra Haute, IN
  • NPI 1548363260
  Medicare reassignment

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1891364154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 205",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164387",
            "telephone_number": "765-683-3160",
            "fax_number": "765-646-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 205",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164387",
            "telephone_number": "765-683-3160",
            "fax_number": "765-646-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "SHELBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003282A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Frick, MD
• Jessica Friedlin, PA
• Phillip Stanley Frist, DDS
• Vanessa Frist, MA CCC SLP
• Ethan Thomas Frye
• Mark Fulton, D.D.S.
• Shelby Furlin
• Amanda Jean Furr, M.D.
• Chloe Fuson, RBT
• Pamela Gaar

• Physician Assistant in Anderson, IN
• Providers in Anderson, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.