Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverly J Shamloo, NP

Individual provider Nurse Practitioner · NPI 1003399759

Beverly J Shamloo, NP is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2018, 8 years ago. Practices with Indiana University Health Southern Indiana Physicians LLC, a 484-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1520 S Liberty Dr
Bloomington, IN 47403-5167
Phone: (812) 676-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 16th St, Bedford, IN 47421-3510 — (812) 278-8800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71008290A (IN)

Record details

NPI number1003399759
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address1520 S Liberty Dr, Bloomington, IN 47403-5167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Indiana University Health Southern Indiana Physicians Llc — 484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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