Individual provider Active NPI

Charisse F Shafer, NP

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1659181592
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016010A Issued in IN
Practice address
13100 E 136TH St Ste 2400
Fishers, IN 46037-9810
Phone
(317) 678-3777
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016010A IN Primary

Addresses

Primary practice location

13100 E 136TH St Ste 2400
Fishers, IN 46037-9810

Mailing address

13100 E 136TH St Ste 2400
Fishers, IN 46037-9810
Phone (317) 678-3777

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Other identifiers 1

IdentifierTypeStateIssuer
1104854013OtherINANTHEM PTAN

Other names 1

  • Charisse Fisher Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address CSHAFER@DIRECT.IUHEALTH.ORG Direct
Direct Messaging Address CSHAFER@DIRECT.IUHEALTH.ORG Direct

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
I20250212002789 IN Practitioner - Nurse Practitioner 8628508165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

13100 E 136TH St
Fishers, IN 46037-9417
Phone (317) 944-6467

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health Tipton Hospital Inc Hospital, Tipton, IN, CCN 151311
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Family CurrentSince Mar 2, 2025 Accepting new patients
University Urologists, Inc., PC CurrentSince Mar 2, 2025 Accepting new patients

Locations

7614 Solutions Ctr
Chicago, IL 60677

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

13100 E 136th St
Ste 2400
Fishers, IN 46037
Phone (317) 328-6620

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

Interoperability endpoints

  • Direct secure messaging: cshafer@direct.iuhealth.org

Organizations & group practices 2

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 3

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1659181592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 E 136TH ST STE 2400",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379810",
            "telephone_number": "317-678-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 E 136TH ST STE 2400",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379810",
            "telephone_number": "317-678-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "888-484-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "CHARISSE",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016010A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1104854013",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CSHAFER@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13100 E 136th St Ste 2400",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CSHAFER@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARISSE",
            "last_name": "FISHER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.