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

MS. Shauntel Nichole Marcin

Individual provider Family Nurse Practitioner · NPI 1689305948

MS. Shauntel Nichole Marcin is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2022, 4 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

221 Red Coach Dr Ste E
Mishawaka, IN 46545-8324
Phone: (574) 335-7630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012899A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28219930A (IN)

Record details

NPI number1689305948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mishawaka