Individual provider Active NPI

Shonda Terrazas, FNP-C

  • Family Nurse Practitioner
  • Celina, OH
National Provider Identifier
1043809767
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0026910 Issued in OH
Practice address
801 Pro Dr Ste a
Celina, OH 45822-3301
Phone
(419) 586-3113
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0026910 OH Primary

Addresses

Primary practice location

801 Pro Dr Ste a
Celina, OH 45822-3301

Mailing address

830 W Main St
Coldwater, OH 45828-1626

Other practice location 1

5855 Monroe St
Sylvania, OH 43560-2269
Phone (419) 824-7419

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
I20210329002166 OH Practitioner - Nurse Practitioner 2961819552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Care Providers IncGroup PAC ID 1052744885, 4 clinicians
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

Practice addresses (Care Compare)

1896 Amys Ridge CT
Beavercreek, OH 45434-7192
Phone (937) 534-0172

801 Pro Dr
Suite a
Celina, OH 45822-3301
Phone (419) 586-3113

Hospital & facility affiliations

  • Everheart Hospice Hospice, Greenville, OH, CCN 361529
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

801 Pro Dr
Ste A
Celina, OH 45822
Phone (419) 586-3113

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

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 3

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1043809767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR STE A",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223301",
            "telephone_number": "419-586-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602269",
            "country_code": "US",
            "telephone_number": "419-824-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "SHONDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.