Individual provider Active NPI

Shannon Arlene Trzcinski, CNP

  • Adult Health Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1033407523
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A0711025 Issued in OH
Practice address
661 S Trimble Rd
Mansfield, OH 44906-3437
Phone
(419) 774-0478
Fax
(419) 774-9887
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A0711025 OH Primary

Addresses

Primary practice location

661 S Trimble Rd
Mansfield, OH 44906-3437

Mailing address

661 S Trimble Rd
Mansfield, OH 44906-3437
Phone (419) 774-0478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111022000070 OH Practitioner - Nurse Practitioner 0749453561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Americare Kidney Institute LLCGroup PAC ID 9133356843, 25 clinicians

Practice addresses (Care Compare)

805 Columbia Rd
Suite 101
Westlake, OH 44145-1461
Phone (440) 799-4224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
61.68
Promoting interoperability
98
Improvement activities
40
Cost
75.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A0711025OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Kidney Institute LLC CurrentSince Dec 28, 2020 Accepting new patients
Kidney Associates, Inc. CurrentSince Sep 23, 2011 Accepting new patients

Locations

224 W Exchange St
Ste 330
Akron, OH 44302
Phone (330) 436-3150

661 S Trimble Rd
Mansfield, OH 44906
Phone (419) 774-0478

9050 N Church Dr
Parma Heights, OH 44130
Phone (440) 292-0226

805 Columbia Rd
Ste 101
Westlake, OH 44145
Phone (216) 228-5500

2363 Eagle Pass
Ste B
Wooster, OH 44691
Phone (330) 436-3150

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1033407523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063437",
            "telephone_number": "419-774-0478",
            "fax_number": "419-774-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063437",
            "telephone_number": "419-774-0478",
            "fax_number": "419-774-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZCINSKI",
        "first_name": "SHANNON",
        "middle_name": "ARLENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "A0711025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.