NPIMap

Individual provider Active NPI

Aubrey Rae Shearn, FNP-C

  • Family Nurse Practitioner
  • Avon, OH
National Provider Identifier
1083990964
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12734-NP Issued in OH
Practice address
2535 Hale St
Suite a
Avon, OH 44011-1856
Phone
(440) 934-8810
Fax
(440) 934-8811
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 COA.12734-NP OH Primary

Addresses

Primary practice location

2535 Hale St
Suite a
Avon, OH 44011-1856

Mailing address

26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823

Other identifiers 2

IdentifierTypeStateIssuer
0057161MedicaidOH
000000737706OtherOHANTHEM

Other names 1

  • Miss Aubrey Rae Waddell Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aubreyshearn@uhps.allscriptsdirect.net
Direct Messaging Address aubreyshearn@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000463 OH Practitioner - Nurse Practitioner 7012181142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jan 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Wellcare Physicians Group LLC Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

2535 Hale St
Ste A
Avon, OH 44011
Phone (440) 617-1823

2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142

26908 Detroit Rd
Ste 200
Westlake, OH 44145
Phone (440) 871-6060

Interoperability endpoints

  • Direct secure messaging: ashearn28056@ehrdirect.uhhospitals.org

Organizations & group practices 6

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 6

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1083990964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 HALE ST",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111856",
            "telephone_number": "440-934-8810",
            "fax_number": "440-934-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARN",
        "first_name": "AUBREY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12734-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000737706",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aubreyshearn@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "26908 Detroit Rd Ste 200",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441452399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aubreyshearn@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2535 Hale St",
            "address_2": "Suite A",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440111856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "WADDELL",
            "middle_name": "RAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.