Shelby M Mengerink

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CDCA.172448 Issued in OH

Practice address

835 N Locust St
Ottawa, OH 45875-1216

Phone

(419) 523-4300

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1326688151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N LOCUST ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751216",
            "telephone_number": "419-523-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N LOCUST ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751216",
            "telephone_number": "419-523-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Van Gundy Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061153",
            "country_code": "US",
            "telephone_number": "419-782-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGERINK",
        "first_name": "SHELBY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-08-04",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.172448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majestic Care of Ottawa LLC
• Brooke Mangas
• Cheryl Ann Mansfield, LPN
• Frankie D McBee
• Julie Lynn McCann, MPT
• Lindsey Metzger
• Troy Meyer, DC
• Kristi Miller Powell
• Morgan Elizabeth Miller
• Ingo D Montgomery, MS, BA, LICDC, LSW

• Case Manager/Care Coordinator in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.