SHOCK THERAPY GROUP LLC
NPI 1538869532
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN
About Shock Therapy Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOCK THERAPY GROUP LLC (NPI 1538869532) is a healthcare organization registered as a psychiatric/mental health in Fort Wayne, Indiana and active in the NPI registry since March 2023. The organization lists Jenna Lizabeth Shock, Owner / Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shock Therapy Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Shock Therapy Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shock Therapy Group LLC's NPI number?
The NPI number for Shock Therapy Group LLC is 1538869532. It was assigned to this organization in the NPPES registry on March 8, 2023.
Where is Shock Therapy Group LLC located?
Shock Therapy Group LLC is located at 5743 Wilkie Dr Ste 3, Fort Wayne, IN 46804. The listed phone number is (260) 200-4940.
What is Shock Therapy Group LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shock Therapy Group LLC enrolled in Medicare?
Yes. Shock Therapy Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shock Therapy Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Shock Therapy Group LLC, in Clinical Social Worker, Marriage and Family Therapist and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shock Therapy Group LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Shock Therapy Group LLC 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 Shock Therapy Group LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Shock Therapy Group Llc · NPI 1538869532
Psychiatric/Mental Health organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since March 8, 2023.
## Identity
- **NPI:** 1538869532 (Entity type: Organization)
- **Enumerated:** March 8, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jenna Shock, OWNER / CEO
## Practice location
- **Address:** 5743 WILKIE DR STE 3, Fort Wayne, IN 46804-8905
- **Phone:** (260) 200-4940 · **Fax:** (949) 404-6540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Marriage and Family Therapist (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2026
- **Other identifiers:** Medicaid 300074854 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1538869532) · Data from the CMS NPPES public registry.