Active NPI
Shelly Bunch, FNP-C
- Family Nurse Practitioner
- New Castle, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71014292A
- Practice address
- 1000 N 16TH St FL 3
New Castle, IN 47362-4319 - Phone
- (765) 521-1420
- NPI assigned
- Sep 7, 2023
- Last updated
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014292A | IN | Primary |
Addresses
Primary practice location
1000 N 16TH St FL 3
New Castle, IN 47362-4319
Mailing address
5804 E Carolyn Dr
Muncie, IN 47303-4403
Phone (765) 881-0908
Other practice location 1
2400 Chateau Dr
Muncie, IN 47303-1900
Phone (765) 747-9044
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 N Main St
Bluffton, IN 46714-1321
Phone (260) 261-1385
2008 N Walnut St
Hartford City, IN 47348-1364
Phone (765) 329-6662
3719 S Western Ave
Marion, IN 46953-4828
Phone (765) 293-8485
4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014292A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Rural Health Clinic/Center
- Bedford, IN
- NPI 1841911591
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1992581557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 E CAROLYN DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034403",
"telephone_number": "765-881-0908",
"fax_number": "765-601-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 16TH ST FL 3",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624319",
"telephone_number": "765-521-1420"
}
],
"practiceLocations": [
{
"address_1": "2400 Chateau Dr",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473031900",
"country_code": "US",
"telephone_number": "765-747-9044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNCH",
"first_name": "SHELLY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014292A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.