Individual provider Active NPI

Shauna Elizabeth Poe, FNP-BC

  • Family Nurse Practitioner
  • Brazil, IN
National Provider Identifier
1124096193
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001969A Issued in IN
Practice address
1214 E National Ave Ste 90a
Brazil, IN 47834
Phone
(812) 442-2900
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001969A IN
Family Nurse Practitioner 363LF0000X 71001969A IN Primary

Addresses

Primary practice location

1214 E National Ave Ste 90a
Brazil, IN 47834

Mailing address

1214 E National Ave Ste 90a
Brazil, IN 47834-2746

Other identifiers 1

IdentifierTypeStateIssuer
200531680MedicaidIN

Other names 1

  • Shauna E Poe-Ames 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
I20050928001201 IN Practitioner - Nurse Practitioner 9032144068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookside Medical Home Visits LLC 8 clinicians

Practice addresses (Care Compare)

265 W County Rd 850
Clay City, IN 47841-8210
Phone (812) 229-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shauna.poe-ames.1@28056.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1124096193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E NATIONAL AVE STE 90A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E NATIONAL AVE STE 90A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "47834",
            "telephone_number": "812-442-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "SHAUNA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001969A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001969A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "POE-AMES",
            "middle_name": "E",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.