Individual provider Active NPI

Hannah Shay, FNP-C

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1093588501
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09231248 Issued in OH
Practice address
3665 W 117TH St
Cleveland, OH 44111-5215
Phone
(330) 503-1507
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09231248 OH Primary

Addresses

Primary practice location

3665 W 117TH St
Cleveland, OH 44111-5215

Mailing address

121 Lakeview Dr
Avon Lake, OH 44012-1910
Phone (330) 503-1507

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
I20231205003511 OH Practitioner - Nurse Practitioner 6204285026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

16111 Lorain Ave
Cleveland, OH 44111-5520
Phone (216) 252-8444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F09231248OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Premier Physicians Centers Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

3665 W 117th St
Cleveland, OH 44111
Phone (216) 251-5464

16111 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-8444

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

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 1

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1093588501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121910",
            "telephone_number": "330-503-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115215",
            "telephone_number": "330-503-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "HANNAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "F09231248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.