JEROMY MICHAEL SHOUP NP
NPI 1053960120
Nurse Practitioner - Family in Indianapolis, IN
About Jeromy Michael Shoup Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEROMY MICHAEL SHOUP NP (NPI 1053960120) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71009462) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Crawfordsville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeromy Michael Shoup Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jeromy Shoup reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 2,087 clinicians in this Medicare group
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
St Augustine, FL 32086
- Reassigned Medicare billing, Indiana enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46219
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 Jeromy Shoup's NPI number?
The NPI number for Jeromy Shoup is 1053960120. It was assigned to this individual provider in the NPPES registry on September 10, 2019.
Where is Jeromy Shoup located?
Jeromy Shoup practices at 1500 N Ritter Ave, Indianapolis, IN 46219. The listed phone number is (317) 355-1411.
What is Jeromy Shoup's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeromy Shoup enrolled in Medicare?
Yes. Jeromy Shoup is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeromy Shoup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeromy Shoup reassigns Medicare benefits to 3 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN), Lifespan Advanced Care LLC (Carmel, IN) and Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (St Augustine, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeromy Shoup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeromy Shoup accept?
Health plans from CareSource list Jeromy Shoup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeromy Shoup was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Jeromy Michael Shoup, NP · NPI 1053960120
Family physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since September 10, 2019.
## Identity
- **NPI:** 1053960120 (Entity type: Individual)
- **Enumerated:** September 10, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71009462 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N RITTER AVE, Indianapolis, IN 46219-3027
- **Phone:** (317) 355-1411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Physicians Of Indiana Inc (NPI 1619105244, Indianapolis, IN); Lifespan Advanced Care LLC (NPI 1558238345, Carmel, IN); Hospitalist Medicine Physicians Of Mississippi-Tcs, Inc. (NPI 1023866597, St Augustine, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053960120) · Data from the CMS NPPES public registry.