Shelly Renae Sparks, NP
Nurse Practitioner, Gerontology in Fishers, IN. Individual provider (NPI-1).
Details
- NPI
- 1962420109
- Entity type
- Individual (NPI-1)
- Name
- Shelly Renae Sparks
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 71001150A | IN | Yes |
Practice location
8890 E 116th St Ste 305Fishers, IN 46038-2856
Phone 317-621-6696 · Fax 317-621-6697
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Other practice locations
Anderson, IN 46011-1216
Phone 765-298-4770 · Fax 765-298-4942
Anderson, IN 46016-4389
Phone 765-648-4138
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gerontology Nurse Practitioner providers in Fishers, IN
- Jack ChitenjeNPI 1598327009
- Matthew Brandon Hunt, NPNPI 1295474088
- Tracie Kay Meyer, AG-ACNP-BCNPI 1306282819
- Josephine MwachandeNPI 1073184206
- Irina Paterson, AGPCNP-BCNPI 1518634203
- Jessica Julie Pietras, RNNPI 1417627563
- Stephanie Nickole Sherrow, NPNPI 1164991063
- Tiffini Smith, NPNPI 1093209348
- Nekia StanleyNPI 1265034615
All 10 Gerontology Nurse Practitioner providers in Fishers · All 2,664 providers in Fishers
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.