Active NPI
Shannon Marie Van Schaik, FNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024739
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2639 - Phone
- (614) 722-2000
- Fax
- (614) 722-2549
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024739 | OH | Primary |
| Registered Nurse | 163W00000X | RN.402365 | OH |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2639
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-2000
Other practice location 1
1069 Delaware Ave
Marion, OH 43302-1400
Phone (614) 722-2000
Other practice location 2
5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000
Other practice location 3
7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-2000
Other practice location 4
830 W High St
Lima, OH 45801-3971
Phone (614) 722-2000
Other practice location 5
4439 State Route 159 Ste G10
Chillicothe, OH 45601-7708
Phone (614) 722-2000
Other practice location 6
1 Childrens Plz
Dayton, OH 45404-1873
Phone (614) 722-2000
Other practice location 7
1711 27th St
Portsmouth, OH 45662-2654
Phone (614) 722-2000
Other practice location 8
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000
Other practice location 9
11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764-2523
Phone (614) 722-2000
Other practice location 10
955 Bethesda Dr
Zanesville, OH 43701-1840
Phone (614) 722-2000
Other practice location 11
416 Front St
Marietta, OH 45750-2124
Phone (614) 722-2000
Other practice location 12
7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-2000
Other practice location 13
335 Glessner Ave # 3
Mansfield, OH 44903-2269
Phone (614) 722-2000
Other practice location 14
1818 Chapel Dr
Findlay, OH 45840-1335
Phone (614) 722-2000
Other practice location 15
716 Adair Ave
Zanesville, OH 43701-2843
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384470 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 W 10TH Ave
Columbus, OH 43210-1240
Phone (800) 293-5066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.402365 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | Family | Current | Accepting new patients |
| Pediatric Academic Association, Inc. | Family | Current | Accepting new patients |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
Dept 781629
Detroit, MI 48278
7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050
4439 State Route 159
Ste G10
Chillicothe, OH 45601
Phone (740) 779-4300
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054
Dept L289
Columbus, OH 43260
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900
5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480
1818 Chapel Dr
Findlay, OH 45840
Phone (419) 424-1055
830 W High St
Lima, OH 45801
Phone (419) 226-9694
335 Glessner Ave
#3
Mansfield, OH 44903
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
416 Front St
Marietta, OH 45750
Phone (740) 236-4131
1069 Delaware Ave
Marion, OH 43302
Phone (740) 223-3496
11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764
Phone (614) 367-1004
1711 27th St
Portsmouth, OH 45662
Phone (740) 352-1175
955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804
716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239
955 Bethesda Dr
Zanesville, OH 43701
Phone (740) 454-0804
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1740231448
-
dba Nationwide Children's Hospital Pharmacy
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
dba Ohio State University Dodd Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
dba Ohio State University Harding Hospital
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1295390607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549"
}
],
"practiceLocations": [
{
"address_1": "1069 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433021400",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5665 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 Diley Rd",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431109612",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 W High St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458013971",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4439 State Route 159 Ste G10",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456017708",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041873",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 27th St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456622654",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 John Lloyd Evans Memorial Dr",
"address_purpose": "LOCATION",
"city": "Nelsonville",
"state": "OH",
"postal_code": "457642523",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "955 Bethesda Dr",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437011840",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "416 Front St",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "457502124",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7853 Pacer Dr",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430157571",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Glessner Ave # 3",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 Chapel Dr",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458401335",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "716 Adair Ave",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437012843",
"country_code": "US",
"telephone_number": "614-722-2000",
"fax_number": "614-722-2549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN SCHAIK",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024739",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.402365",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384470",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.