Individual provider Active NPI

Donna Sheahan, CNP

  • Family Nurse Practitioner
  • Painesville, OH
National Provider Identifier
1104343631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06171472 Issued in OH
Practice address
236 Ardmore Blvd
Painesville, OH 44077
Phone
(440) 289-3162
NPI assigned
Aug 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 F06171472 OH Primary

Addresses

Primary practice location

236 Ardmore Blvd
Painesville, OH 44077

Mailing address

236 Ardmore Blvd
Painesville, OH 44077-2612
Phone (440) 289-3162

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
I20180517001870 OH Practitioner - Nurse Practitioner 3476818618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gma Consultants IncGroup PAC ID 5890738405, 11 clinicians

Practice addresses (Care Compare)

2863 State Route 45 N
Glenbeigh Hsptl
Rock Creek, OH 44084
Phone (440) 563-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06171472OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gma Consultants Inc CurrentSince Feb 1, 2019 Accepting new patients
Signature Health, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Signature Health Inc CurrentSince Sep 28, 2020 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Apr 14, 2018 Accepting new patients

Locations

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

2863 State Route 45 N
Rock Creek, OH 44084
Phone (440) 563-3400

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: dsheahan327887@direct.ochin.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104343631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ARDMORE BLVD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772612",
            "telephone_number": "440-289-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ARDMORE BLVD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-289-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "DONNA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F06171472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.