Hsiaojung Shu, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

28233861A Issued in IN

Practice address

97 Dover St
Ste 100
Avon, IN 46123-8509

Phone

(317) 706-7246

Fax

(317) 706-3417

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Shadeland Anesthesia & Pain Associates Inc.

  • Interventional Pain Medicine Physician
  • Indianapolis, IN
  • NPI 1477589000
  Medicare reassignment NPD
• Shadeland Anesthesia & Pain Associates Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brownsburg, IN
  • NPI 1376429555
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1255019394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DOVER ST",
            "address_2": "STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238509",
            "telephone_number": "317-706-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DOVER ST",
            "address_2": "STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238509",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "HSIAOJUNG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28233861A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tariq Shoaib
• Madelyn Shoemaker
• Bukola F Sholabi, AGNP-PC
• Kiah Shotton
• Stephanie K Shrock, MA, BCBA
• Abby Susan Siegwarth
• Jason Taylor Silberman, M.D.
• Tanisha S. Silva
• Jasmine Simmons, OTR
• Allison Bryn Simon

• Adult Health Nurse Practitioner in Avon, IN
• Providers in Avon, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.