Shock Therapy Group LLC
NPI 1538869532 · Family Nurse Practitioner · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shock Therapy Group LLC is a Family Nurse Practitioner organization in Fort Wayne, IN (NPI 1538869532).
Provider details
- NPI number
- 1538869532
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jenna Shock, Owner(260) 200-4940
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Shock Therapy Group LLC's NPI number?
- Shock Therapy Group LLC's National Provider Identifier (NPI) is 1538869532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shock Therapy Group LLC?
- Shock Therapy Group LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shock Therapy Group LLC located?
- Shock Therapy Group LLC's practice location on file with NPPES is 1690 Broadway Ste 10, Fort Wayne, IN 46802-4377.
- What is Shock Therapy Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Shock Therapy Group LLC is (260) 200-4940.
- Does Shock Therapy Group LLC accept Medicare?
- Shock Therapy Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shock Therapy Group LLC?
- The authorized official listed on Shock Therapy Group LLC's NPPES record is Jenna Shock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shock Therapy Group LLC's NPI active?
- Yes — Shock Therapy Group LLC's NPI (1538869532) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.