Individual provider Active NPI

Shannon Renee McCarter, FNP-C

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1962079525
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011197A Issued in IN
Practice address
10110 Donald S Powers Dr Ste 202
Munster, IN 46321-4070
Phone
(219) 922-8222
Fax
(219) 922-8377
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 71011197A IN Primary

Addresses

Primary practice location

10110 Donald S Powers Dr Ste 202
Munster, IN 46321-4070

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other identifiers 1

IdentifierTypeStateIssuer
300053721MedicaidIN

Other names 1

  • Shannon R Fields, Arroyo 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
I20210712001777 IN Practitioner - Nurse Practitioner 3173925310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

10110 Don S Powers Dr
Suite 202
Munster, IN 46321-4070
Phone (219) 922-8222

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Community Care Network Inc Nurse Practitioner CurrentSince Apr 15, 2024 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Feb 1, 2023 Accepting new patients
Midwest Post Acute Care Aco PLLC Nurse Practitioner CurrentSince Jul 9, 2024 Accepting new patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Sep 7, 2022 Accepting new patients
Aesquivel Professional Corporation PastSince Jun 1, 2021 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

10191 Broadway
Crown Point, IN 46307
Phone (219) 661-6100

4320 Fir St
Unit 410
East Chicago, IN 46312
Phone (219) 392-7665

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

10110 Donald S Powers Dr
Ste 202
Munster, IN 46321
Phone (219) 922-0222

1001 E Springhill Dr
Terre Haute, IN 47802
Phone (812) 238-2441

Interoperability endpoints

  • Direct secure messaging: smccarter8782@ssdirect.comhs.org

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 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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1962079525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD S POWERS DR STE 202",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214070",
            "telephone_number": "219-922-8222",
            "fax_number": "219-922-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011197A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300053721",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FIELDS, ARROYO",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.