Active NPI
Eric M Shanahan, FNP-BC
- Family Nurse Practitioner
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71015113A
- Practice address
- 601 Gateway Blvd N
Chesterton, IN 46304-9658 - Phone
- (219) 921-1444
- Fax
- (219) 921-5303
- NPI assigned
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015113A | IN | Primary |
Addresses
Primary practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Other practice location 1
833 W Lincoln Hwy Ste 110
Schererville, IN 46375-1674
Phone (219) 921-1444
Other practice location 2
500 E 109th Ave
Crown Point, IN 46307-7294
Phone (219) 921-1444
Other practice location 3
3777 N Frontage Rd Ste 900
Michigan City, IN 46360-7698
Phone (219) 921-1444
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030000181 | IN | Practitioner - Nurse Practitioner | 9830622844 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeshore Bone and Joint Institute, PC
Practice addresses (Care Compare)
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Hospital & facility affiliations
- Franciscan Health Crown Point
- Franciscan Health Munster
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Bone & Joint Institute, PC | Current | Accepting new patients | |
| Lakeshore Bone & Joint Institute, PC | Past | Accepting new patients | |
| Lakeshore Bone & Joint Institute, PC | Past | Accepting new patients |
Locations
601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401
500 E 109th Ave
Crown Point, IN 46307
3777 N Frontage Rd
Ste 900
Michigan City, IN 46360
Phone (219) 879-6021
3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380
833 W Lincoln Hwy
Ste 110E
Schererville, IN 46375
Phone (219) 427-0700
833 W Lincoln Hwy
Ste 110
Schererville, IN 46375
2501 Cumberland Dr
Valparaiso, IN 46383
Phone (219) 462-4481
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Schererville, IN
- NPI 1457744161
-
- Specialist
- Michigan City, IN
- NPI 1194999888
-
- Specialist
- Valparaiso, IN
- NPI 1346414976
-
- Specialist
- Crown Point, IN
- NPI 1386818078
-
- Specialist
- Portage, IN
- NPI 1194999896
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1265299143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GATEWAY BLVD N",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463049658",
"telephone_number": "219-921-1444",
"fax_number": "219-921-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 GATEWAY BLVD N",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463049658",
"telephone_number": "219-921-1444",
"fax_number": "219-921-5303"
}
],
"practiceLocations": [
{
"address_1": "833 W Lincoln Hwy Ste 110",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751674",
"country_code": "US",
"telephone_number": "219-921-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 E 109th Ave",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463077294",
"country_code": "US",
"telephone_number": "219-921-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3777 N Frontage Rd Ste 900",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463607698",
"country_code": "US",
"telephone_number": "219-921-1444",
"fax_number": "219-921-5303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANAHAN",
"first_name": "ERIC",
"middle_name": "M",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-06",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015113A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.