Jacob C. Shively
- Medicare patients, 2024
- 203
- MIPS score, 2024
- 84
- Hospital affiliations
- 5
- Industry payments
- $13
- Medical groups
- 2
- Practice address
- 11109 Parkview Plaza Drive, Fort Wayne, IN 46845
- Practice phone
- Call (260) 266-1195
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Jacob Shively's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jacob C. Shively is a nurse practitioner in Fort Wayne, Indiana
Jacob Shively practices at Parkview Regional Medical Center in Fort Wayne, Indiana, part of Parkview Health System.
Jacob Shively's NPI, 1215672928, was assigned on April 28, 2022. Jacob Shively holds Indiana license 71012742A.
- NPI
- 1215672928NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8628447240
- NPI enumeration date
- April 28, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (260) 266-1195
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jacob C. Shively practices at Parkview Regional Medical Center in Fort Wayne, Indiana
Jacob Shively's primary practice is Parkview Regional Medical Center, at 11109 Parkview Plaza Drive, Fort Wayne, IN 46845 in Allen County. The practice phone is (260) 266-1195.
- Parkview Regional Medical Center11109 Parkview Plaza Drive, Fort Wayne, IN 46845 · Allen CountyPhone(260) 266-1195
Source: Dmand AI Affiliation Data
Jacob C. Shively is affiliated with 7 sites of care and 2 medical groups
Jacob Shively's primary practice is Parkview Regional Medical Center in Fort Wayne, Indiana, part of Parkview Health System. Jacob Shively is also affiliated with Lutheran Hospital. The medical group on file is Parkview Physicians Group. Dmand AI also links Jacob Shively to 3 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Jacob C. Shively's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jacob Shively practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Parkview Regional Medical Center | Available with a free account |
| +6 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Parkview Health System and 6.2K+ hospitals, with verified contacts in the same login.
Jacob C. Shively is one of 2,019 nurse practitioners in Indiana
Nurse practitioner is Jacob Shively's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Jacob Shively is licensed in Indiana.
Specialties and state licenses
- Nurse practitioner, IndianaPrimary
Nurse practitioners near Jacob Shively
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jacob C. Shively treated 203 Medicare patients in 2024, average age 69
CMS counts 203 Medicare patients who saw Jacob Shively in 2024. The largest group is 65 to 74, with 64 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 38% are also on Medicaid. Their average risk score is 6.30, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Jacob Shively's median patient age at 68, with 45% women.
Jacob Shively's Medicare patients by age, 2024
Jacob Shively's Medicare patients by sex, 2024
- Women9145%
- Men11255%
Chronic conditions among Jacob Shively's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Diabetes65%
- Heart failure65%
- Ischemic heart disease58%
- Arthritis55%
- Mood disorders45%
Share of Medicare patients with each condition. A patient can have several.
Jacob Shively's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 68
Patient panel by sex, all payers
- Women45%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Jacob C. Shively scored 84 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Jacob Shively for performance year 2024, reported as part of a group. Jacob Shively accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Jacob Shively's MIPS scores, performance year 2024
- 84of 100Final score
- 70of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
Jacob C. Shively received $13 in industry payments in 2025
CMS Open Payments shows 1 general payment to Jacob Shively from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Teva Pharmaceuticals USA, Inc. paid the most, $13.
Companies that paid Jacob Shively the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Jacob C. Shively's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jacob C. Shively
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jacob C. Shively's NPI number?
Jacob C. Shively's NPI number is 1215672928. It was assigned on April 28, 2022, and it is active in the NPI Registry.
What does Jacob C. Shively specialize in?
Jacob C. Shively is a nurse practitioner in Fort Wayne, Indiana. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Jacob C. Shively practice?
Jacob Shively practices at 11109 Parkview Plaza Drive, Fort Wayne, IN 46845. Jacob Shively's primary practice is Parkview Regional Medical Center in Fort Wayne, Indiana, part of Parkview Health System. Dmand AI also links Jacob Shively to 3 hospitals, 2 group practices and clinics and 1 medical group.
What is Jacob C. Shively's office phone number?
The practice phone on file for Jacob Shively is (260) 266-1195.
What is Jacob C. Shively's medical license number?
Jacob Shively holds Indiana license 71012742A.
Which hospitals is Jacob C. Shively affiliated with?
Jacob Shively practices at Parkview Regional Medical Center in Fort Wayne, Indiana. Jacob Shively is also affiliated with Lutheran Hospital. Dmand AI links Jacob Shively to 3 more hospitals.
What medical group is Jacob C. Shively part of?
Jacob Shively is linked to Parkview Physicians Group. Dmand AI links Jacob Shively to 1 more medical group.
Does Jacob C. Shively accept Medicare?
Yes. CMS lists Jacob Shively as accepting Medicare assignment.
What is Jacob C. Shively's MIPS score?
Jacob Shively's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.
How many Medicare patients does Jacob C. Shively see?
CMS counts 203 Medicare patients who saw Jacob Shively in 2024, with an average age of 69.
Has Jacob C. Shively received payments from drug or device companies?
CMS Open Payments shows $13 in general payments to Jacob Shively from 1 company from 2025 to 2025. The largest total came from Teva Pharmaceuticals USA, Inc.
How long has Jacob C. Shively been practicing?
Jacob Shively graduated from medical school in 2021, 5 years ago.
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