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

Shelley L Clark, NP

Individual provider Family Nurse Practitioner · NPI 1093158925

Shelley L Clark, NP is a Nurse Practitioner in Columbus, Indiana. Qualified in 2012, 14 years ago. Practices with Illinois Urgent Care Professionals PLLC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2013
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

2142 25th St Ste I
Columbus, IN 47201-3242
Phone: (812) 375-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3015 10th St Ste A, Columbus, IN 47201-7091 — (812) 372-8883

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71004374A (IN)

Record details

NPI number1093158925
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Illinois Urgent Care Professionals Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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