Margaret E Shupe, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Monon, IN
NPI 1750109096 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1750109096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71015967A (IN)
- Practice address
- 692 E Broadway St
Monon, IN 47959-8191 - Phone
- (800) 321-5043
- Fax
- (877) 727-7640
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustees of Purdue University
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
- Indiana University Health White Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028000687 | IN | Practitioner - Nurse Practitioner | 2163955394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015967A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Purdue University | Current |
Accepting new patients | |
| Trustees of Purdue University | Current | Accepting new patients | |
| Trustees of Purdue University | Current |
Accepting new patients | |
| Purdue University | Past | Accepting new patients | |
| Trustees of 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
- margaret.shupe.1@29127.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015967A | IN | Yes |
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
- Margaret E Jarrette
Other providers in Monon, IN
- Family Health Clinics
- J&a Anointed Home Health Care Inc.
- Monon Volunteer Fire Dept Inc
- North White School Corporation
- Yadira Santiago Banuelos
- Chelsea Taulman
- Trustees of Purdue University
- Charles Ung
- White County Family Physicians
- Wood Pharmacy
All providers in Monon, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.