Shannon Elise Brisbin, PA-C
Individual provider Active NPI Physician Assistant · Huntington, IN
NPI 1972156990 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1972156990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10002715A (IN)
- Practice address
- 2003 Stults Rd Ste 100
Huntington, IN 46750-1291 - Phone
- (260) 356-5424
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Wabash Hospital Inc
Parkview Health System Inc
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
- Parkview Huntington Hospital
- Parkview Regional Medical Center
- Parkview Wabash Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
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 |
|---|---|---|---|---|
| I20210401001578 | IN | Practitioner - Physician Assistant | 3375950603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002715A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System,Inc | Physician Assistant | Current |
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
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
2003 Stults Rd
#100
Huntington, IN 46750
Phone (219) 356-5424
2003 Stults Rd
Ste 100
Huntington, IN 46750
Phone (219) 356-5424
Interoperability endpoints
- https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
- sbrisbin467150@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002715A | IN | Yes |
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
1801 N 6th St
Terre Haute, IN 47804-4086
Phone (812) 238-4708
Other practice location 2
1801 N 6th St
Terre Haute, IN 47804-4086
Phone (812) 238-4708
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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/ |
Other providers in Huntington, IN
- Hannah Boratenski
- Jeremy Boroff
- Laci Renea Boxell
- Boys & Girls Club of Huntington County, Inc
- Bradley Bibb MD PLLC
- Laura M Brooks
- Terra L Brunson-Doll
- Holly Marie Buckler
- C. Bryan Wait, M.D., Internal Medicine, P.C.
- Patricia Campbell
All providers in Huntington, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. 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.