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

Shan Li

Individual provider Nurse Practitioner · NPI 1194569434

Shan Li is a Nurse Practitioner in Crown Point, Indiana. Qualified in 2024, 2 years ago. Practices with Neurology and Pain Management Associates PC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2100 N Main St # 304
Crown Point, IN 46307-1877
Phone: (574) 546-1900
Fax: (574) 546-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5508 Agape Ln, Valparaiso, IN 46383-1206 — (219) 510-3316

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71015549A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28248448A (IN)

Record details

NPI number1194569434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address5508 Agape Ln, Valparaiso, IN 46383-1206

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Neurology And Pain Management Associates Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crown Point