IndividualActive
Samantha Shankshaw
NPI 1114868833 · Emergency Registered Nurse · South Bend, IN
Samantha Shankshaw is a Emergency Registered Nurse provider in South Bend, IN (NPI 1114868833).
Provider details
- NPI number
- 1114868833
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28267952A (IN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-1000
Street-level locationGet directions
Mailing address
66305 State Road 15
Goshen, IN 46526-5490
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-05
Frequently asked questions
- What is Samantha Shankshaw's NPI number?
- Samantha Shankshaw's National Provider Identifier (NPI) is 1114868833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Shankshaw's specialty?
- Samantha Shankshaw is listed in the NPPES registry with a primary specialty of Emergency Registered Nurse (Nursing Service Providers).
- Where is Samantha Shankshaw located?
- Samantha Shankshaw's practice location on file with NPPES is 615 N Michigan St, South Bend, IN 46601-1033.
- What is Samantha Shankshaw's phone number?
- The practice phone number listed in the NPPES registry for Samantha Shankshaw is (574) 647-1000.
- Is Samantha Shankshaw's NPI active?
- Yes — Samantha Shankshaw's NPI (1114868833) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.