MRS. AMBER RAE SHUPE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457002669

MRS. AMBER RAE SHUPE (PMHNP-BC) is a healthcare provider. based in Meriden, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 128463 (IA). The NPI Number for MRS. AMBER RAE SHUPE (PMHNP-BC) is 1457002669

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMBER RAE SHUPE (PMHNP-BC)
NPI
1457002669
Phone
(712) 229-5381
Address
4904 M Ave
Enumeration Date
10 January 2022
Last Update Date
10 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127324030
Graduation Year
2021 (5 years ago)
PAC ID
0648667626
Group Practice PAC ID
3476464421
Professional Enrollment ID
I20220421000301
Address ID
IA505883027ST1525XSTXX400
Telehealth
Yes

Contacts

Other Endpoint
www.officeally.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

3,532 NURSE PRACTITIONER in IA

Provider Addresses for MRS. AMBER RAE SHUPE (PMHNP-BC)

  • 4904 M Ave

    Meriden, IA 510377002

    Phone: (712) 229-5381

    Type: Location

  • 4904 M AVE

    MERIDEN, IA 510377002

    Phone: (712) 229-5381

    Type: Mailing

  • 1525 W 5TH ST

    STORM LAKE, IA 505883027

    Phone: (712) 213-8656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-04-21

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
I20220421000301INurse PractitionerIATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes509145$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes14441$0
90792Psychiatric diagnostic evaluation with medical services110110$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5432$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4529$0
View full utilization report →

Insurance plans in this area (ZIP 51037)

Loading plans...

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: 3476464421View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)MO
Orthopedic SurgeryIA
Physician AssistantAZ
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeIA
Family PracticeNE
-IA
-IA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find MRS. AMBER RAE SHUPE (PMHNP-BC)'s NPI?
You can confirm MRS. AMBER RAE SHUPE (PMHNP-BC) with NPI 1457002669; it appears in the national provider directory.
Is MRS. AMBER RAE SHUPE (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. AMBER RAE SHUPE (PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. AMBER RAE SHUPE (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. AMBER RAE SHUPE (PMHNP-BC)?
The page summarizes Meriden, Iowa for MRS. AMBER RAE SHUPE (PMHNP-BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MRS. MINDY KAY GINGERY (PMHNP-BC, CRNA)

Psychiatric/Mental Health Nurse Practitioner
Northwest 27th Court, Ankeny, Polk County, Iowa, 50023, United States
NPI: 1124026042

GRACE VENTIMIGLIA HATCHER (ARNP)

Psychiatric/Mental Health Nurse Practitioner
Medical Billing Services, 2213, Grand Avenue, Grand Oaks Condominiums, Des Moines, Polk County, Iowa, 50312, United States
NPI: 1417959032

LINDA DEE REAM (L.I.S.W.)

Psychiatric/Mental Health Nurse Practitioner
3900, Ingersoll Avenue, Windsor Terrace Apartments, Des Moines, Polk County, Iowa, 50312, United States
NPI: 1255333894

JENNIFER R SLEITER (ARNP)

Pediatric Nurse Practitioner
Methodist Medical Plaza II, 1215, Pleasant Street, Sherman Hill, Des Moines, Polk County, Iowa, 50309, United States
NPI: 1740272855
Mercy Beaverdale Medical Clinic, 1750, 48th Street, Des Moines, Polk County, Iowa, 50310, United States
NPI: 1477545457

MRS. KAREN J FULWOOD (NP)

Psychiatric/Mental Health Nurse Practitioner
1800 2nd Loop Rd Ste 1
NPI: 1164414520