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

Shelby Patterson, FNP-C

Individual provider Pediatric Registered Nurse · NPI 1710611603

Shelby Patterson, FNP-C is a Nurse Practitioner in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone: (574) 647-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012807A (IN)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 28220040A (IN)

Record details

NPI number1710611603
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESOctober 22, 2022
Certification dateOctober 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount