Individual provider Active NPI

Shannon Elise Brisbin, PA-C

  • Physician Assistant
  • Huntington, IN
National Provider Identifier
1972156990
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002715A Issued in IN
Practice address
2003 Stults Rd Ste 100
Huntington, IN 46750-1291
Phone
(260) 356-5424
NPI assigned
Jul 18, 2019
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002715A IN Primary

Addresses

Primary practice location

2003 Stults Rd Ste 100
Huntington, IN 46750-1291

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice location 1

5233 S 50 E
Wabash, IN 46992-8011
Phone (260) 563-1158

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sbrisbin467150@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
I20210401001578 IN Practitioner - Physician Assistant 3375950603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Wabash Hospital IncGroup PAC ID 0244553360, shared by 5 NPIs, 31 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

10 John Kissinger Dr
Wabash, IN 46992-1648

2001 Stults Rd
Huntington, IN 46750-1291

2003 Stults Rd
Huntington, IN 46750-1291

2708 Guilford St
Huntington, IN 46750-9701
Phone (260) 355-3900

8 John Kissinger Dr
Wabash, IN 46992-1648
Phone (260) 563-7451

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System,Inc Physician Assistant CurrentSince Aug 21, 2021 Accepting new patients
Parkview Health System Inc Current Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

2003 Stults Rd
#100
Huntington, IN 46750
Phone (219) 356-5424

2003 Stults Rd
Ste 100
Huntington, IN 46750
Phone (219) 356-5424

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • FHIR API: https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
  • Direct secure messaging: sbrisbin467150@direct.parkviewexchange.com

Organizations & group practices 3

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 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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1972156990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 STULTS RD STE 100",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501291",
            "telephone_number": "260-356-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 S 50 E",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469928011",
            "country_code": "US",
            "telephone_number": "260-563-1158",
            "fax_number": "260-274-8578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISBIN",
        "first_name": "SHANNON",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002715A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrisbin467150@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2003 Stults Rd Ste 100",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467501291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2003 Stults Rd Ste 100",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467501291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2003 Stults Rd Ste 100",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467501291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.