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

Shani Berrios

Individual provider Registered Nurse · NPI 1447026851

Shani Berrios is a Nurse Practitioner in Lafayette, Indiana. Graduated from Indiana Medical College, School of Medicine of Purdue University in 2023, 3 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Trained at
Indiana Medical College, School of Medicine of Purdue University
Licensed in
IN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

30 Professional Ct Ste 2
Lafayette, IN 47905-5129
Phone: (765) 838-1218
Fax: (765) 838-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Hartford St, Lafayette, IN 47904-2134 — (765) 423-6400

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71014859A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28251535A (IN)

Record details

NPI number1447026851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address30 Professional Ct Ste 2, Lafayette, IN 47905-5129

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated 2023 (3 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lafayette