Individual provider Active NPI

Sasha L. Shumpert

  • Nurse Practitioner
  • Columbia City, IN
National Provider Identifier
1467959692
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008019A Issued in IN
Practice address
1270 E State Road 205 Ste 150
Columbia City, IN 46725-8505
Phone
(260) 248-9890
Fax
(260) 248-9895
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008019A IN Primary

Addresses

Primary practice location

1270 E State Road 205 Ste 150
Columbia City, IN 46725-8505

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sshumpert80111@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
I20180829001574 IN Practitioner - Nurse Practitioner 2668722414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

1270 E State Rd
150 PPG Internal Medicine
Columbia City, IN 46725-8505
Phone (260) 248-9890

Hospital & facility affiliations

  • Parkview Health at Home LLC Home health agency, Fort Wayne, IN, CCN 157423
  • Home Health Care Solutions LLC Home health agency, Mooresville, IN, CCN 157597
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Parkview Health System, Inc. Nurse Practitioner Past Accepting new patients
Parkview Health System,Inc. Nurse Practitioner Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1270 E State Road 205
Ste 220
Columbia City, IN 46725
Phone (260) 248-9890

1270 E State Road 205
Ste 150
Columbia City, IN 46725
Phone (260) 248-9890

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • Direct secure messaging: sshumpert80111@direct.parkviewexchange.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.

Hospital & facility affiliations 7

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1467959692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E STATE ROAD 205 STE 150",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467258505",
            "telephone_number": "260-248-9890",
            "fax_number": "260-248-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMPERT",
        "first_name": "SASHA",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshumpert80111@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 150",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 150",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1270 E State Road 205 Ste 150",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467258505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.