Individual provider Active NPI

Shawn Michelle Kroft, FNP

  • Family Nurse Practitioner
  • Chesterton, IN
National Provider Identifier
1063000297
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020067465 Issued in IN
Practice address
651 W Morgan Ave RM F168
Chesterton, IN 46304-2243
Phone
(219) 763-8112
NPI assigned
Jan 4, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020067465 IN Primary

Addresses

Primary practice location

651 W Morgan Ave RM F168
Chesterton, IN 46304-2243

Mailing address

651 W Morgan Ave RM F168
Chesterton, IN 46304-2243
Phone (219) 763-8112

Other names 1

  • Shawn Michelle Bowers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002371 IN Order and Referring Only - Nurse Practitioner 1052728193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2020067465INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers, Inc. Family CurrentSince Apr 11, 2021 Accepting new patients
Northshore Health Centers, Inc. PastSince Apr 11, 2021 Accepting new patients
Northshore Health Centers, Inc. Past Accepting new patients

Locations

651 W Morgan Ave
Rm F168
Chesterton, IN 46304

Interoperability endpoints

  • Direct secure messaging: shawn.kroft.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1063000297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W MORGAN AVE RM F168",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042243",
            "telephone_number": "219-763-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W MORGAN AVE RM F168",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042243",
            "telephone_number": "219-763-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROFT",
        "first_name": "SHAWN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2020067465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "BOWERS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.