Shelley Nicole Gough, NP-C | |
2200 Forest Ridge Pkwy Ste 310, New Castle, IN 47362-2943 | |
(765) 599-3400 | |
Not Available |
Full Name | Shelley Nicole Gough |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2200 Forest Ridge Pkwy Ste 310, New Castle, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164019501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28194797A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71010755A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry County Memorial Hospital | New castle, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry County Memorial Hospital | 6002724085 | 123 |
Entity Name | Henry County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891570537 PECOS PAC ID: 6002724085 Enrollment ID: O20031121000221 |
Entity Name | Fc Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
Mailing Address | Practice 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 |
Hannah Marie King, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 | |
Taylor Fruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 798 N 16th St, New Castle, IN 47362 Phone: 765-521-1500 | |
Kaitlin Walden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Wittenbraker Ave, New Castle, IN 47362 Phone: 765-599-3100 Fax: 765-518-5365 | |
Anne C Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Forest Ridge Pkwy Ste 310, New Castle, IN 47362 Phone: 765-599-3400 Fax: 765-599-3426 | |
Lauren Karbowski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 | |
Ms. Deborah Lynn Perkins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N 16th St, New Castle, IN 47362 Phone: 765-599-3177 Fax: 765-599-3176 | |
Tobey Lyn Gilmore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 Fax: 765-518-8102 |