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

Shannon L Decker

Individual provider Registered Nurse · NPI 1003469925

Shannon L Decker is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2019, 7 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone: (260) 266-5700
Fax: (260) 266-5910
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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 71009255A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28202903A (IN)

Record details

NPI number1003469925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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