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

Shelly Renae Sparks, NP

Individual provider Gerontology Nurse Practitioner · NPI 1962420109

Shelly Renae Sparks, NP is a Nurse Practitioner in Fishers, Indiana. Qualified in 2001, 25 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
25
Licensed in
IN
In the registry since
2006
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

8890 E 116th St Ste 305
Fishers, IN 46038-2856
Phone: (317) 621-6696
Fax: (317) 621-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1515 N Madison Ave, Anderson, IN 46011-3453 — (317) 621-4900
  • 141 W 22nd St Ste 212, Anderson, IN 46016-4389 — (765) 648-4138

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71001150A (IN)

Record details

NPI number1962420109
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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