NPPES file of Aug 9, 2026

Shock Therapy Group LLC in Fort Wayne, IN

This organization bills under NPI 1538869532, an organization record issued on Mar 8, 2023 with the primary taxonomy Family Nurse Practitioner. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1538869532
Legal name
Shock Therapy Group LLC
Entity
Type 2 · organization
Primary taxonomy
Family Nurse Practitioner 363LF0000X
Practice location
1690 BROADWAY STE 10, Fort Wayne, IN 46802
Phone
260-200-4940
Enumerated
Mar 8, 2023
Record updated
Dec 10, 2024
Authorized official
Owner (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

3 clinicians CMS lists with Shock Therapy Group in Fort Wayne

  1. Jessica Erebor, MSEDMarriage & Family Therapist1649761503
  2. Jenna Shock, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1255984738
  3. Angelica Wilson, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1952297533

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Indiana secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 363LF0000X Family Nurse Practitioner
  • 363LP0808X Psychiatric/Mental Health Nurse Practitioner

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.