Shipshwana Medical Clinic – Family Medicine Physician, NPI 1427005990

Shipshwana Medical Clinic is a healthcare provider. based in Shipshewana, Indiana. specializing in Family Medicine Physician. The NPI Number for Shipshwana Medical Clinic is 1427005990

Main info

Organization
Name
Shipshwana Medical Clinic
NPI
1427005990
Phone
(574) 256-2556
Address
915 N Van Buren St
Authorized Official
ROSEMARIE SCOTT ADMINISTRATOR
Enumeration Date
28 May 2006
Deactivation Date
7 December 2007
Reactivation Date
15 January 2008
Last Update Date
2 November 2022

Contacts

Secure Messaging
MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

Provider Addresses for Shipshwana Medical Clinic

  • 915 N Van Buren St

    Shipshewana, IN 465658702

    Phone: (574) 256-2556

    Fax: (574) 258-4278

    Type: Location

  • 524, East McKinley Avenue, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465456285

    Phone: (574) 256-2556

    Fax: (574) 258-4278

    Type: Mailing

  • East McKinley Avenue, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465456285

    Phone: (574) 256-2556

    Fax: (260) 768-7214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 46565)

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Reviews

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Frequently asked questions

Is there an official ID for Shipshwana Medical Clinic in U.S. healthcare records?
The official identifier for Shipshwana Medical Clinic is NPI 1427005990.
Is there an active status for Shipshwana Medical Clinic?
For scheduling context, Shipshwana Medical Clinic is shown as active in the registry.
How would a patient describe Shipshwana Medical Clinic's focus?
For Shipshwana Medical Clinic, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Shipshwana Medical Clinic located near Shipshewana?
Shipshwana Medical Clinic currently maps to Shipshewana, Indiana in this extract.
Can I trust this NPI listing for Shipshwana Medical Clinic?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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