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
- Entity
- Type 1 · individual
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 832 among the 95,030 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, mostly food and beverage; the largest payer was Lilly USA, LLC. The 61,144 providers of this specialty with any payment received $853.85 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.
One hospital or facility affiliation
- Saint Joseph Regional Medical Center IncMishawaka, IN
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Physician Assistant providers in Indiana
There are 2,301 physician assistant records in Indiana.
Other physician assistant records in Indiana
- Mary Abbas, PA-CIndianapolis, IN1174088033
- Alexandra Abbey, PA-CIndianapolis, IN1124820113
- Mackenzie Accorsi, PA-CLa Porte, IN1346707841
- Anna Ackermann, PA-CIndianapolis, IN1972237170
- Joshua Ackermann, PA-CIndianapolis, IN1285989269
- Jeremy Adamowicz, PAIndianapolis, IN1790131357
- Alysen AdamsNew Albany, IN1861961062
- Anne Adams, PA-CJeffersonvlle, IN1962005231
- Emily Adams, PACGreencastle, IN1710060033
- Laurel Adams, PA-CBloomington, IN1881781318
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 832. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 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.
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 Aug 27, 2026.