Provider Profile
Jacob C. Shively
Unclaimed ProfileAbout Jacob Shively
Jacob C. Shively is a nurse practitioner practicing in Fort Wayne, IN. According to Medicare claims data, Jacob cared for 221 Medicare patients across 235 services. The services billed most often include initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes, initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, and initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (260) 494-3484
- Email not available
Practice Locations
11104 PARKVIEW CIRCLE DR STE 330
Fort Wayne, IN 46845
11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845
Procedures Most Often Billed to Medicare
235 services · 221 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
96 | More often than most peers in Nurse Practitioner |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
71 | More often than most peers in Nurse Practitioner |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
68 | More often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other nurse practitioners at this location 8
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 3
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 24 related providers in 3 groups
Other nurse practitioners in Fort Wayne 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2021 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What does Jacob C. Shively specialize in?
Jacob C. Shively is a nurse practitioner in Fort Wayne, IN. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Jacob C. Shively located?
Jacob C. Shively is listed at 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Jacob C. Shively's phone number?
The number on file is (260) 494-3484. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Jacob C. Shively's NPI number?
Jacob C. Shively's National Provider Identifier is 1215672928. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Jacob C. Shively train?
Jacob C. Shively attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How long has Jacob C. Shively been practicing?
Jacob C. Shively has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
What does Jacob C. Shively do most often?
According to Medicare billing data, Jacob C. Shively the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Jacob C. Shively confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Jacob C. Shively. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.