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

Mr. Grover Alexander Shelton III, NP

Individual provider Critical Care Medicine Registered Nurse · NPI 1316415136

Mr. Grover Alexander Shelton III, NP is a Nurse Practitioner in Indianapolis, Indiana. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2018, 8 years ago. Practices with Community Physician Network Specialty Care LLC, a 252-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
8
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
IN, OH
In the registry since
2018
Specialties on file
2
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

8075 N Shadeland Ave Ste 200
Indianapolis, IN 46250
Phone: (317) 621-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6341 — (317) 528-4723
  • 14602 Garfield Ave, Lakewood, OH 44107-5927 — (317) 332-8367

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71008853A (IN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 429527 (OH)

Record details

NPI number1316415136
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 9, 2018
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Community Physician Network Specialty Care Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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