Individual provider Active NPI

Sheila Lynn Ronan-Hawes, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1104637834
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704245810 Issued in MI
Practice address
3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916
Phone
(419) 452-2140
Fax
(419) 873-6327
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704245810 MI Primary

Addresses

Primary practice location

3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Other names 1

  • Miss Sheila Lynn Hobdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260513000691 MI Practitioner - Nurse Practitioner 0143799742 Reassigns benefits to 4 organizations
I20260615002144 OH Practitioner - Nurse Practitioner 0143799742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careline Poh100 LLCGroup PAC ID 7012395965, 7 clinicians

Practice addresses (Care Compare)

3550 Briarfield Blvd
Suite 300
Maumee, OH 43537-8916
Phone (419) 452-2140

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704245810MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northview Medical House Calls PLC CurrentSince Apr 24, 2026 Accepting new patients
Careline Hmi300 LLC CurrentSince Apr 27, 2026 Accepting new patients
Northview Health Specialists, PLLC CurrentSince Apr 27, 2026 Accepting new patients
Premier Heart Associates, Inc PastSince Apr 24, 2026 Accepting new patients

Locations

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

Organizations & group practices 7

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1104637834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BRIARFIELD BLVD STE 300",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378916",
            "telephone_number": "419-452-2140",
            "fax_number": "419-873-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN-HAWES",
        "first_name": "SHEILA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704245810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "HOBDY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.