Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Pamela Sue Shoda, NP

Individual provider Nurse Practitioner · NPI 1194823989

MS. Pamela Sue Shoda, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2005, 21 years ago. Practices with Fort Wayne Dermatology Consultants Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5750 Falls Dr
Fort Wayne, IN 46804-7147
Phone: (260) 436-8000
Fax: (260) 432-5587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71002051A (IN)

Record details

NPI number1194823989
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Fort Wayne Dermatology Consultants Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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