Individual provider Active NPI

Margaret E Shupe, FNP-BC

  • Family Nurse Practitioner
  • Monon, IN
National Provider Identifier
1750109096
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015967A Issued in IN
Practice address
692 E Broadway St
Monon, IN 47959-8191
Phone
(800) 321-5043
Fax
(877) 727-7640
NPI assigned
Sep 26, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 71015967A IN Primary

Addresses

Primary practice location

692 E Broadway St
Monon, IN 47959-8191

Mailing address

1202 N Saddlebrook CT
Monticello, IN 47960-2483
Phone (574) 270-0894

Other names 1

  • Margaret E Jarrette Former name

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
I20241028000687 IN Practitioner - Nurse Practitioner 2163955394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

128 W Market St
Wolcott, IN 47995-8130
Phone 76556430162002

692 E Broadway St
Monon, IN 47959-8191
Phone 76556430162002

715 Clinic Dr
West Lafayette, IN 47907-2122
Phone (765) 494-3789

901 Prince William Rd
Suite a
Delphi, IN 46923-1759
Phone 76556430162002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015967AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Purdue University CurrentSince Oct 16, 2024 Accepting new patients
Trustees of Purdue University Current Accepting new patients
Trustees of Purdue University CurrentSince Oct 16, 2024 Accepting new patients
Trustees of Purdue University Past Accepting new patients
Purdue University Past Accepting new patients
Trustees of Purdue University Past Accepting new patients

Locations

425 E 5th St
Ste B
Burlington, IN 46915
Phone (765) 566-5055

901 Prince William Rd
Ste A
Delphi, IN 46923
Phone (765) 494-3789

692 E Broadway St
Monon, IN 47959
Phone (800) 321-5043

715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789

Interoperability endpoints

  • Direct secure messaging: margaret.shupe.1@29127.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1750109096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N SADDLEBROOK CT",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602483",
            "telephone_number": "574-270-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 E BROADWAY ST",
            "city": "MONON",
            "state": "IN",
            "postal_code": "479598191",
            "telephone_number": "800-321-5043",
            "fax_number": "877-727-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "MARGARET",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015967A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "JARRETTE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monon, IN

Sources for this page

Verify at the official NPI Registry.