Shannon Jackson, PA-C
Physician Assistant · Mishawaka, IN
Shannon Jackson, PA-C is a physician assistant with a practice address in Mishawaka, Indiana, and NPI 1134616584, issued on Apr 20, 2018. Check the license (Indiana 10005009A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Jackson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 10005009A IN
5601011128 MI
Self-reported in NPPES; status is on the state search - Practice location
- 611 E Douglas RD Ste 203, Mishawaka, IN 46545
- Phone
- (574) 335-6640
- Enumerated
- Apr 20, 2018
- Record last updated
- Oct 14, 2025
- Fax
- (574) 335-0621
- Medicare enrollment
- Enrolled (PECOS I20251121001664); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,419 in Indiana → Look up another NPI →
Also registered at 611 E Douglas RD Ste 203
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paul Judge, MDOtolaryngology Physician1184988685
- Aimee Rogers, M.D.Urology Physician1093912693
- Heidi Schmeltzer, AUDAudiologist1043664063
Verify Shannon Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 10005009ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average physician assistant in 2024
268 Medicare Part D claims for 135 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.
Most prescribed
- Fluticasone Propionate76 claims
- Azelastine Hcl33 claims
- Ciprofloxacin-Dexamethasone28 claims
- Omeprazole22 claims
- Ipratropium Bromide17 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $489.02
24 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Saint Joseph Regional Medical Center IncMishawaka, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Jackson among 2,419 physician assistant records in Indiana
Shannon Jackson, PA-C is one of 2,419 physician assistant records with a practice address in Indiana. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 44% of them.
- NPI issued2018 · 44% of these records are older, 52% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2018 · median 2019 among the 1,700 with a school on file
- Record last updated2025 · 25% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physician Assistant providers in Indiana
There are 2,419 physician assistant records in Indiana.
All 2,419 in Indiana → Every provider in Mishawaka → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Mason Haye, PA-C, ATCMishawaka, IN 465451871100503
- John Kittredge, PAMishawaka, IN 465451750316196
- Diana Perez - Solano, PA-CMishawaka, IN 465451275802332
- Megan Poole, PA-CMishawaka, IN 465451053201590
- Julia Tarpley, PACMishawaka, IN 465451972477156
- Gabriela VettorelloMishawaka, IN 465451447121066
- Tanya Vogt, PA-CMishawaka, IN 465451548856073
- Angela Wright, PAMishawaka, IN 465451508013418
Common questions
What is Shannon Jackson, PA-C's NPI number?
Shannon Jackson, PA-C's National Provider Identifier (NPI) is 1134616584, issued on Apr 20, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Jackson, PA-C located?
The NPPES record lists a practice address at 611 E Douglas RD Ste 203, Mishawaka, IN, 46545. Phone: (574) 335-6640. Providers update this record themselves, so call before visiting.
How can I verify Shannon Jackson, PA-C's license?
NPPES lists Indiana license number 10005009A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
How much does Shannon Jackson, PA-C prescribe under Medicare Part D?
In 2024, Shannon Jackson, PA-C had 268 Medicare Part D claims for 135 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.