EMILY SHIN – Family Nurse Practitioner, NPI 1841658689

EMILY SHIN is a healthcare provider. based in Knox, Indiana. specializing in Family Nurse Practitioner. They hold a License No. 71009810A (IN). The NPI Number for EMILY SHIN is 1841658689

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
EMILY SHIN
NPI
1841658689
Phone
Not provided
Address
104 E CULVER RD STE 102
Enumeration Date
8 February 2016
Last Update Date
24 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5747727918
Graduation Year
2015 (11 years ago)
PAC ID
1153629233
Group Practice PAC ID
0446558357
Professional Enrollment ID
I20180821002704

Contacts

Secure Messaging
Emily.Shinn@laportehosp.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

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Provider Addresses for EMILY SHIN

  • Starke County Hospital, 102, East Culver Road, Knox, Starke County, Indiana, 46534, United States

    KNOX, IN 465342241

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-08-21

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
I20180821002704INurse PractitionerINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46534)

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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: 0446558357View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)WI
Nurse PractitionerIN
O P H T H A L M O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Interventional CardiologyTX
Nurse PractitionerIN
-IN
-IN
-IN
-IL

Reviews

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Frequently asked questions

What number should I use to identify EMILY SHIN for billing?
Administrative and clinical systems typically use NPI 1841658689 for EMILY SHIN.
Is EMILY SHIN's NPI status active today?
Active status means EMILY SHIN's NPI record is not deactivated in the public file.
What type of care does EMILY SHIN provide?
EMILY SHIN's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is EMILY SHIN tied to Knox, Indiana?
If you are local to Knox, Indiana, EMILY SHIN may be relevant to your search.
Who maintains EMILY SHIN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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