JENNIFER SHAMBAUGH NP
NPI 1053377606
Nurse Practitioner in Fort Wayne, IN

Q: What is Jennifer Shambaugh's NPI number?

The NPI number for Jennifer Shambaugh is 1053377606. It was assigned to this individual provider in the NPPES registry on April 24, 2006. The provider is also known as Jennifer Hackett Np.

Q: What is Jennifer Shambaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 24, 2006

2700 LAFAYETTE ST, STE B-10, FORT WAYNE, IN 46806(260) 744-7004 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Shambaugh Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SHAMBAUGH NP (NPI 1053377606) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71002009A) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1053377606

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER SHAMBAUGHCredential: NP

Location Address2700 LAFAYETTE ST, STE B-10Fort Wayne, IN 46806-1100

Mailing Address2700 Lafayette St, Ste B-10Fort Wayne, IN 46806-1100 · (260) 744-7004

Phone(260) 744-7004

Sole ProprietorNo

Enumeration DateApril 24, 2006

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1053377606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71002009A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2700 LAFAYETTE ST, Fort Wayne, IN 46806

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Other Names 1

Former Name (1)Jennifer Hackett Np

Other Identifiers 2

Medicare PIN150640OIN

Medicare UPINQ54720

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAFAYETTE FOOT AND ANKLE CLINIC LLC

Podiatrist

2700 LAFAYETTE ST, SUITE 100
FORT WAYNE, IN 46806

Allen County (260) 458-9953

REBECCA KONKIN NP

Nurse Practitioner

2700 LAFAYETTE ST, STE B-10
FORT WAYNE, IN 46806

Allen County (260) 744-7004

KELLY WAKEFIELD APRN.CNP

Nurse Practitioner (Women's Health)

2700 LAFAYETTE ST
FORT WAYNE, IN 46806

Allen County (260) 702-4404

MS. GANIT ANNA GRAY LCSW

Social Worker (Clinical)

2700 LAFAYETTE ST
FORT WAYNE, IN 46806

Allen County (260) 481-2770

DR. BENNY FAIR JR. D.P.M.

Podiatrist

2700 LAFAYETTE ST, SUITE 120
FORT WAYNE, IN 46806

Allen County (260) 458-9953

RACHAEL F. ROGERS PA

Physician Assistant

2700 LAFAYETTE ST, STE 110
FORT WAYNE, IN 46806

Allen County (260) 744-2887

KIRBY JOHNSON FNP-BC

Nurse Practitioner

2700 LAFAYETTE ST
FORT WAYNE, IN 46806

Allen County (260) 266-0780

SHARON HEATON NP

Nurse Practitioner

2700 LAFAYETTE ST, STE 110
FORT WAYNE, IN 46806

Allen County (260) 744-2887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shambaugh's NPI number?

The NPI number for Jennifer Shambaugh is 1053377606. It was assigned to this individual provider in the NPPES registry on April 24, 2006. The provider is also known as Jennifer Hackett Np.

Where is Jennifer Shambaugh located?

Jennifer Shambaugh practices at 2700 Lafayette St Ste B-10, Fort Wayne, IN 46806. The listed phone number is (260) 744-7004.

What is Jennifer Shambaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Shambaugh was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.