JONATHAN NEIL SHENK (MD) – Emergency Medicine Physician, NPI 1164422002

JONATHAN NEIL SHENK (MD) is a healthcare provider. based in Mishawaka, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01060154 (IN). The NPI Number for JONATHAN NEIL SHENK (MD) is 1164422002

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN NEIL SHENK (MD)
NPI
1164422002
Phone
(574) 335-5000
Address
5215 HOLY CROSS PKWY
Enumeration Date
21 July 2005
Last Update Date
16 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5745332141
Graduation Year
2001 (25 years ago)
PAC ID
6800837295
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20050516000854
Address ID
IN465264810GO200XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

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Provider Addresses for JONATHAN NEIL SHENK (MD)

  • Mishawaka Medical Center, 5215, Holy Cross Parkway, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    EMERGENCY DEPARTMENT

    MISHAWAKA, IN 465451469

    Phone: (574) 335-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($130).

Total Amount

$130

General + Research + Ownership

Payments

5

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$130
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050516000854IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making178172$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only171158$0
99284Emergency department visit with moderate level of medical decision making6559$0
99291Critical care, first 30-74 minutes5654$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

What is the registry number for JONATHAN NEIL SHENK (MD)?
The registry entry for JONATHAN NEIL SHENK (MD) shows NPI 1164422002.
Quick check: is JONATHAN NEIL SHENK (MD) active?
Public NPPES data shows JONATHAN NEIL SHENK (MD) with an active NPI status right now.
What services align with JONATHAN NEIL SHENK (MD)'s listing?
JONATHAN NEIL SHENK (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JONATHAN NEIL SHENK (MD)?
The directory associates JONATHAN NEIL SHENK (MD) with Mishawaka, Indiana. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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