Jon Andrew Shull, M.D.
Family Medicine Physician · South Bend, IN
Jon Andrew Shull, M.D. is a family medicine physician with a practice address in South Bend, Indiana, and NPI 1013948348, issued on Jul 5, 2006. Check the license (Indiana 01064025A, as entered in NPPES) on the Medical Licensing Board of Indiana; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jon Andrew Shull
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 01064025A IN
Self-reported in NPPES; status is on the state search - Practice location
- 1708 High St, South Bend, IN 46613
- Phone
- (574) 647-1400
- Enumerated
- Jul 5, 2006
- Record last updated
- Oct 28, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (574) 237-6663
- Medicaid ID
- 200872740 IN
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,506 in Indiana → Look up another NPI →
Also registered at 1708 High St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jacqueline Brown, LCSWClinical Social Worker1386872448
- Patricia Corbett, NPWomen's Health Nurse Practitioner1699763409
- Yvonne LindeireNurse Practitioner1184255093
- Luann Tracey, FNPFamily Nurse Practitioner1528358405
- Kristen Wright, MDFamily Medicine Physician1417693466
Verify Jon Andrew Shull in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01064025ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jon Andrew Shull among 3,506 family medicine physician records in Indiana
Jon Andrew Shull, M.D. is one of 3,506 family medicine physician records with a practice address in Indiana. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 19% of them.
- NPI issued2006 · 19% of these records are older, 46% newer
- In a Medicare fileNo · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 63% of these records are
- Record last updated2009 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
145 family medicine physician records list a practice address in South Bend
They are 145 of the 3,178 NPPES records with a practice address in South Bend, and 3,506 family medicine physician records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,506 in Indiana → Every provider in South Bend → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Gregory Ferro, DOSouth Bend, IN 466131215923313
- Kristen Wright, MDSouth Bend, IN 466131417693466
- Laura Albright, MDSouth Bend, IN 466141912388018
- Douglas David, M.D.South Bend, IN 466141396733101
- Zhaijun Fan, DOSouth Bend, IN 466141124225578
- William Farabaugh, M.D.South Bend, IN 466141639167901
- Lillian Jardine, MDSouth Bend, IN 466141720188956
- Robert Lee, M.D.South Bend, IN 466141225031925
Common questions
What is Jon Andrew Shull, M.D.'s NPI number?
Jon Andrew Shull, M.D.'s National Provider Identifier (NPI) is 1013948348, issued on Jul 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jon Andrew Shull, M.D. located?
The NPPES record lists a practice address at 1708 High St, South Bend, IN, 46613. Phone: (574) 647-1400. Providers update this record themselves, so call before visiting.
How can I verify Jon Andrew Shull, M.D.'s license?
NPPES lists Indiana license number 01064025A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.