Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lee Shilts, MSCCC-A

Individual provider Audiologist · NPI 1063684140

Stacey Lee Shilts, MSCCC-A is a Qualified Audiologist in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Eskenazi Medical Group Inc, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-7666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Michigan Ave, Logansport, IN 46947-1594 — (574) 753-2222

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 23002220A (IN)
Audiologist Taxonomy 231H00000X

Record details

NPI number1063684140
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-A
Sole proprietorNo
NPI enumeratedMarch 28, 2008
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Eskenazi Medical Group Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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