Shelly Bunch, FNP-C
Individual provider Active NPI Family Nurse Practitioner · New Castle, IN
NPI 1992581557 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1992581557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71014292A (IN)
- Practice address
- 1000 N 16TH St FL 3
New Castle, IN 47362-4319 - Phone
- (765) 521-1420
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207000753 | IN | Practitioner - Nurse Practitioner | 3274976295 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014292A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| FC Indiana, LLC | Current |
Accepting new patients | |
| FC Indiana, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014292A | IN | Yes |
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
Other providers in New Castle, IN
- Heather Bricker
- Anna Brown
- Terry Dale Brown Jr.
- Amanda Brunck
- Brian S Brunck
- Doshia Burk
- Patricia Burkhardt
- Rachel Burns
- Leann Buskirk
- Mary Elizabeth Butler
All providers in New Castle, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.