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Deactivated NPI 1093299976 Deactivated / Inactive NPI Male Practitioner

Alan Dale Shupe

Case Manager/Care Coordinator • Fort Wayne, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alan Shupe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 18, 2018
NPI Deactivation Date February 22, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Alan Shupe was a registered Case Manager/Care Coordinator practicing in Fort Wayne, IN. Throughout an active medical career spanning 5 years, Alan Shupe provided care at the practice location at 2525 LAKE AVE until profile deactivation on 2023-02-22.

Practice Location & Contact Primary Location

Practice Address

2525 Lake Ave

Fort Wayne, IN 468055407

Telephone 2604844153
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
69 Specialists

Practicing in Fort Wayne, IN (1013 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
David Goetz

Case Manager/Care Coordinator

NPI 1023596665
Stacey Kammer

Case Manager/Care Coordinator

NPI 1053958538
Sarah York

Case Manager/Care Coordinator

NPI 1063996551
Wendy Griffin-Allen , LMFT

Marriage & Family Therapist

NPI 1073601803

Licensed Marriage and Family Therapist

Ashlee Rager

Marriage & Family Therapist

NPI 1104288851
Gabriel Aguilera

Case Manager/Care Coordinator

NPI 1144789041

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 22, 2023

Record deactivated on February 22, 2023

NPI Profile Active September 18, 2018

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2018

Registered at 2525 LAKE AVE, FORT WAYNE, IN 468055407 (Tel: 2604844153)

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Updated Business Mailing Address September 18, 2018

Registered at 2525 LAKE AVE, FORT WAYNE, IN 468055407 (Tel: 2604844153)

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Provider Name / Credentials Updated September 18, 2018

Recorded as ALAN SHUPE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration September 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093299976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2018
Last Update: September 18, 2018
Deactivation Date: February 22, 2023

Mailing Address

2525 Lake Ave

Fort Wayne, IN 468055407

Phone: 2604844153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.