Individual provider Active NPI

Shannon Hamilton, NP-C

  • Family Nurse Practitioner
  • Oregon, OH
National Provider Identifier
1235544263
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16063 Issued in OH
Practice address
1050 Isaac Streets Dr Ste 108
Oregon, OH 43616-3243
Phone
(567) 585-0630
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704281021 MI
Family Nurse Practitioner 363LF0000X APRN.CNP.16063 OH Primary

Addresses

Primary practice location

1050 Isaac Streets Dr Ste 108
Oregon, OH 43616-3243

Mailing address

1050 Isaac Streets Dr Ste 108
Oregon, OH 43616-3243

Other practice location 1

730 N Monroe St # 319
Monroe, MI 48162-2972
Phone (734) 457-3610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shamilton24896@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20141210000656 OH Practitioner - Nurse Practitioner 6002138674 Reassigns benefits to 2 organizations
I20231023003033 MI Practitioner - Nurse Practitioner 6002138674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

1050 Isaac Streets Dr
Oregon, OH 43616-3243

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

730 N Macomb St
Monroe, MI 48162-2904
Phone (734) 430-3140

Hospital & facility affiliations

  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704281021MIMDFamily Nurse Practitioner
APRN.CNP.16063OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Sep 20, 2023 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Dec 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Oct 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

730 N Macomb St
Ste 319
Monroe, MI 48162
Phone (734) 241-3900

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

1252 Ralston Ave
Ste 402
Defiance, OH 43512
Phone (419) 948-3376

217 Golden Gate Plz
Maumee, OH 43537
Phone (567) 585-0210

1050 Isaac Streets Dr
Ste 108
Oregon, OH 43616
Phone (419) 696-7372

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2109 Hughes Dr
Ste 800
Toledo, OH 43606
Phone (419) 291-3388

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: shamilton24896@direct.promedica.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1235544263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR STE 108",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR STE 108",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163243",
            "telephone_number": "567-585-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Monroe St # 319",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481622972",
            "country_code": "US",
            "telephone_number": "734-457-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHANNON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704281021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shamilton24896@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "1050 Isaac Streets Dr Ste 108",
            "city": "Oregon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436163243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.