2026 NPPES data Nurse Practitioner NPI 1215672928
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Jacob Shively

Nurse Practitioner in Fort Wayne, Indiana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
40
Medicare Part D claims · 22 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
81.2/100
▼ 2 pts below national avg 83.1 · Above neutral

What the federal data shows

Jacob Shively reported a CMS MIPS final score of 81.2/100 - below the 83.1 national average - and filed 40 Medicare Part D claims in 2023.

81.2/100
MIPS score · -2 vs avg
40
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Jacob Shively's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

81 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jacob Shively sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Jacob Shively writes more Part D claims than 9% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Jacob Shively. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Jacob Shively?

Near national average

NPI registry status

Active

Issued 04/28/2022

NPI 1215672928

Primary specialty

Nurse Practitioner

High-volume

87,700 US NPIs in this specialty

Medicare Part D claims

40 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

81.2/100 1.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Nurse Practitioner compares to other specialties among Indiana providers

Indiana providers
Behavior Technician13.6%Student in an Organized Heal…4.7%Pharmacist4.3%Family Nurse Practitioner4.2%Clinical Social Worker4.2%Mental Health Counselor4.1%Nurse Practitioner2%
Largest specialties in Indiana (% of in-state providers)

Medicare quality performance, MIPS

Jacob Shively's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
81.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 81.2/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Nurse Practitioner) - 81.2/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Jacob Shively appears in the CMS NPPES registry as a Nurse Practitioner provider at 11104 PARKVIEW CIRCLE DR STE 330, Fort Wayne, IN, 46845, with a listed phone of (260) 494-3484. NPI 1215672928 was issued on 04/28/2022.

Medicare Part D records for calendar year 2023 show 40 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $6K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.2/100 for the 2023 performance year (Quality 69, Cost 68.5), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,700 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

11104 PARKVIEW CIRCLE DR STE 330
Fort Wayne, IN 46845

Provider Details

NPI 1215672928
Specialty Nurse Practitioner
Gender Male
NPI Issued 04/28/2022

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.234
Final Score
Avg: 83.1
68.9532
Quality
68.4936
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Jacob Shively bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Nephrology Associates OF Northern Indiana PC
Fort Wayne, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

40
Total Claims
$6K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
1,685
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
1.09

Nurse Practitioner Overview

How Jacob Shively fits within the Nurse Practitioner landscape nationally.

87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Jacob Shively's 40 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Shively.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Jacob Shively's specialty?
Jacob Shively specializes in Nurse Practitioner and practices in Fort Wayne, Indiana.
How much does Jacob Shively prescribe under Medicare Part D?
In 2023, Jacob Shively wrote 40 Medicare Part D claims totaling $6K in drug costs for 22 beneficiaries.
What is Jacob Shively's Medicare quality score?
Jacob Shively has a CMS MIPS Final Score of 81.2/100 (Quality: 69, Cost: 68.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jacob Shively located?
Jacob Shively is located at 11104 PARKVIEW CIRCLE DR STE 330, Fort Wayne, IN, 46845. Phone: (260) 494-3484.
What is Jacob Shively's NPI number?
Jacob Shively's National Provider Identifier (NPI) is 1215672928, issued on 04/28/2022.
How many Nurse Practitioner providers are there in the US?
There are 87,700 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does Jacob Shively accept Medicare?
Jacob Shively appears in CMS Medicare data with 40 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jacob Shively's credentials?
Jacob Shively's NPI is 1215672928. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.