Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285649749 Individual Practitioner Female Practitioner

Dr. Gwendolyn Shelton , MD

Pediatrics • Boonville, IN

Professional Overview & Biography Verified Profile Summary

Dr. Gwendolyn Shelton, MD is a registered healthcare professional specializing in Pediatrics in Boonville, IN. Practice services are available at 1116 MILLIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1116 Millis Ave

Boonville, IN 476012204

Telephone 8128977404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boonville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Boonville, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01083878A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM 2002-0294

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VT 0420012043

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41835557 (NM)
Medicaid State Provider ID
1018027 (VT)

Secondary Practice Locations

246 Granger Rd, Suite 1

Berlin, VT 056020000

Phone: 8023715950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mariah Beadles

Physician Assistant

NPI 1134968126

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 16, 2022

Registered at 1116 MILLIS AVE, BOONVILLE, IN 476012204 (Tel: 8128977404)

📍
Updated Business Mailing Address August 16, 2022

Registered at 1116 MILLIS AVE, BOONVILLE, IN 476012204

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2022

Pediatrics (License #2002-0294 in NM)

NPI Profile Active December 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2014

Registered at 246 GRANGER RD, SUITE 1, BERLIN, VT 056020000 (Tel: 8023715950)

📍
Updated Business Mailing Address December 04, 2014

Registered at PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 056410547 (Tel: 8023715950)

👤
Provider Name / Credentials Updated December 04, 2014

Recorded as GWENDOLYN SHELTON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2014

Pediatrics (License #0420012043 in VT)

🟢
Initial NPI Registration & Enumeration July 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285649749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2006
Last Update: February 11, 2025
Sole Proprietor: No

Mailing Address

1116 Millis Ave

Boonville, IN 476012204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.