Individual provider Active NPI

Shauna Reburn, FNP-C

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1619848983
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7101731A Issued in IN
Practice address
4506 N 1St Ave
Evansville, IN 47710-3624
Phone
(812) 428-6161
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 71017131B IN
Family Nurse Practitioner 363LF0000X 7101731A IN Primary

Addresses

Primary practice location

4506 N 1St Ave
Evansville, IN 47710-3624

Mailing address

1829 Monroe Ave
Evansville, IN 47714-2914
Phone (270) 952-2482

Other names 1

  • Shauna Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251014001846 IN Practitioner - Nurse Practitioner 2163919168 Reassigns benefits to 1 organization
I20251014003794 KY Practitioner - Nurse Practitioner 2163919168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

4506 1St Ave
Evansville, IN 47710-3624
Phone (812) 428-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017131BINMDNurse Practitioner
7101731AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Sep 29, 2025 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Sep 29, 2025 Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Sep 29, 2025 Accepting new patients

Locations

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Organizations & group practices 5

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 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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1619848983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 MONROE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142914",
            "telephone_number": "270-952-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103624",
            "telephone_number": "812-428-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBURN",
        "first_name": "SHAUNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017131B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "7101731A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MARTIN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.