Shelley Nicole Gough, NP-C - Medicare Nurse Practitioner in New Castle, IN

Shelley Nicole Gough, NP-C is a medicare enrolled "Nurse Practitioner - Family" in New Castle, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry County Memorial Hospital and her current practice location is 2200 Forest Ridge Pkwy Ste 310, New Castle, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 599-3400.

Shelley Nicole Gough is licensed to practice in Indiana (license number 71010755A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164019501.

Contact Information

Shelley Nicole Gough, NP-C
2200 Forest Ridge Pkwy Ste 310,
New Castle, IN 47362-2943
(765) 599-3400
Not Available

Map and Direction




Provider's Profile

Full NameShelley Nicole Gough
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2200 Forest Ridge Pkwy Ste 310, New Castle, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelley Nicole Gough graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1164019501
  • Provider Enumeration Date: 12/30/2020
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042624256
  • Enrollment ID: I20210129001643

Medical Identifiers

Medical identifiers for Shelley Nicole Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164019501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28194797A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71010755A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry County Memorial HospitalNew castle, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry County Memorial Hospital6002724085123

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelley Nicole Gough allows following entities to bill medicare on her behalf.
Entity NameHenry County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891570537
PECOS PAC ID: 6002724085
Enrollment ID: O20031121000221
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley Nicole Gough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelley Nicole Gough, NP-C
Po Box 485,
New Castle, IN 47362-0485

Ph: (765) 521-1516
Shelley Nicole Gough, NP-C
2200 Forest Ridge Pkwy Ste 310,
New Castle, IN 47362-2943

Ph: (765) 599-3400

Reviews and Comments


Nurse Practitioner Nurses in New Castle, IN

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Anne C Moore, NP
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Ms. Deborah Lynn Perkins, NP
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Tobey Lyn Gilmore, FNP-C
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Practice Location: 315 S Memorial Dr, New Castle, IN 47362
Phone: 765-518-8100    Fax: 765-518-8102

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.