Individual provider Active NPI

Shannon Gail Markle, CNM

  • Advanced Practice Midwife
  • Valparaiso, IN
National Provider Identifier
1295077782
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
71004370A Issued in IN
Practice address
413 W 100 N
Valparaiso, IN 46385-9230
Phone
(219) 628-6452
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000227A IN
Advanced Practice Midwife 367A00000X 71004370A IN Primary

Addresses

Primary practice location

413 W 100 N
Valparaiso, IN 46385-9230

Mailing address

413 W 100 N
Valparaiso, IN 46385-9230
Phone (219) 628-6452

Other practice location 1

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 462-0909

Other practice location 2

1400 S Lake Park Ave Ste 205
Hobart, IN 46342-6791
Phone (219) 942-8620

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130725000133 IN Practitioner - Certified Nurse Midwife (CNM) 5799926242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as apm
Quality
90.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000227AINMDAdvanced Practice Midwife
71004370AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. CurrentSince May 7, 2016 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. Advanced Practice Midwife CurrentSince Aug 12, 2024 Accepting new patients
Healthlinc, Inc CurrentSince May 7, 2016 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Aug 12, 2024 Accepting new patients
219 Health Network, Inc. Past Accepting new patients

Locations

801 Broadway
Chesterton, IN 46304
Phone (219) 764-5311

2490 Central Ave
Lake Station, IN 46405

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Interoperability endpoints

  • Direct secure messaging: shannon.markle.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: shannon.markle@healthlinc.directbygreenway.com

Organizations & group practices 7

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1295077782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W 100 N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859230",
            "telephone_number": "219-628-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W 100 N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859230",
            "telephone_number": "219-628-6452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 Kelle Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463048708",
            "country_code": "US",
            "telephone_number": "219-462-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Lake Park Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426791",
            "country_code": "US",
            "telephone_number": "219-942-8620",
            "fax_number": "219-942-6356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "SHANNON",
        "middle_name": "GAIL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000227A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "71004370A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.