MR. DEREK S SHELTON ARNP NPI 1063512077

NPI Information

  • NPI: 1063512077
  • Provider Name: MR. DEREK S SHELTON, ARNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10455 ORTHOPAEDIC DR
    NEWBURGH, IN
    ZIP 47630
  • Phone: (812) 424-9291

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NPI Details

MR. Derek S Shelton, ARNP is an acute care nurse practitioner in Newburgh, IN. MR. Derek S Shelton, ARNP NPI is 1063512077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10455 ORTHOPAEDIC DR
NEWBURGH, IN
ZIP 47630-955
Phone: (812) 424-9291
Fax: (812) 421-2722

The NPI 1063512077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner71003826AINDIANANo
2363L00000XNurse Practitioner42960KENTUCKYNo
3363LA2100XNurse PractitionerAcute Care42960KENTUCKYNo
4363LA2100XNurse PractitionerAcute Care71003826AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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