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

Shanon Lee Mekola

Individual provider Family Nurse Practitioner · NPI 1568943231

Shanon Lee Mekola is a Nurse Practitioner in Michigan City, Indiana. Qualified in 2018, 8 years ago. Practices with Smart Physician Systems PC, an 8-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018

Practice location Address checks out

10176 W 400 N Ste C
Michigan City, IN 46360-9009
Phone: (219) 873-1777
Fax: (219) 873-0001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6195 Marcella Blvd, Hobart, IN 46342-0040 — (219) 942-7100
  • 1007 Lincolnway, La Porte, IN 46350 — (219) 326-1234

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008506A (IN)

Record details

NPI number1568943231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Smart Physician Systems Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Michigan City