Individual provider Active NPI

Apeksha R Shah, NP

  • Family Nurse Practitioner
  • Elkhart, IN
National Provider Identifier
1992324883
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010156A Issued in IN
Practice address
3421 Cassopolis St Ste 200
Elkhart, IN 46514-6774
Phone
(574) 335-8180
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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 71010156A IN Primary

Addresses

Primary practice location

3421 Cassopolis St Ste 200
Elkhart, IN 46514-6774

Mailing address

707 Cedar St Ste 405
South Bend, IN 46617-2059

Other identifiers 1

IdentifierTypeStateIssuer
300040176MedicaidIN

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
I20200724002078 IN Practitioner - Nurse Practitioner 4880018795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12563 State Rd
Suite 23
Granger, IN 46530-9226
Phone (574) 335-8300

3421 Cassopolis St
Suite 200
Elkhart, IN 46514-6774
Phone (574) 335-8180

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

611 E Douglas Rd
Mishawaka, IN 46545-1467

611 E Douglas Rd
309 Infectious Diseases
Mishawaka, IN 46545-1469
Phone (574) 335-6770

616 E 13TH St
Cardiology Winamac
Winamac, IN 46996-1117
Phone (574) 948-5340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Jul 22, 2020 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Family CurrentSince Jul 22, 2020 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jul 22, 2020 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jul 22, 2020 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc CurrentSince Jul 22, 2020 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients

Locations

2746 Old US 20 W
Ste A
Elkhart, IN 46514
Phone (574) 335-8180

3421 Cassopolis St
Ste 200
Elkhart, IN 46514
Phone (574) 335-8180

60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

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

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

707 Cedar St
Ste 405
South Bend, IN 46617

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: ashah1141723@direct.trinity-health.org

Organizations & group practices 7

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 4

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1992324883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CEDAR ST STE 405",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 CASSOPOLIS ST STE 200",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146774",
            "telephone_number": "574-335-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "APEKSHA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010156A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040176",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.