Shanon Lee Mekesa Ellis, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024564 Issued in OH

Practice address

6005 Som Center Rd
Willoughby, OH 44094-9646

Phone

(440) 946-7252

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smekesaellis575219@ehrdirect.uhhospitals.org
• Direct secure messaging: shanon.makesa-ellis.1@14940.direct.athenahealth.com

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.

• University Hospitals Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1124765052
  Medicare reassignment Care Compare group NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Family

  Medicare reassignment NPD
• Emh Regional Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  Medicare reassignment NPD
• Hni Medical Services of Ohio, LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1356815922

  Family

  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Emh Regional Medical Center

  • Nurse Practitioner
  • Elyria, OH
  • NPI 1629422480
  NPD
• University Hospitals Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1457070989
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1043781925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 DEER CREEK DR",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944185",
            "telephone_number": "770-841-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SOM CENTER RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949646",
            "telephone_number": "440-946-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E River St",
            "address_purpose": "LOCATION",
            "city": "Elyria",
            "state": "OH",
            "postal_code": "440355902",
            "country_code": "US",
            "telephone_number": "440-326-4217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKESA ELLIS",
        "first_name": "SHANON",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Medves
• Michelle Angela Meeker
• Abbigale Grace Meglich
• Amanda Kathleen Meivogel
• Maria L Mejia
• Sofia Teresa Zindel Melgarejo, MD
• Mikayla Ann Menn
• Savannah Mentall
• Linda Meredith
• Metacare Home Health Services LLC

• Family Nurse Practitioner in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.