Individual provider Active NPI

Shannon Bailey, APRN

  • Family Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1356709265
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18744 Issued in OH
Practice address
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone
(440) 953-9600
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew Brobbey, M.D., Inc 7 clinicians

Practice addresses (Care Compare)

27900 Euclid Ave
Euclid, OH 44132-3539
Phone (216) 731-7110

Hospital & facility affiliations

  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

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
I20160301000944 OH Practitioner - Nurse Practitioner 9234434135 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18744OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitalist, LLC Family CurrentSince Feb 10, 2016 Accepting new patients
Andrew Brobbey MD Inc CurrentSince Jun 1, 2019 Accepting new patients
Community Intensivists, LLC CurrentSince May 27, 2018 Accepting new patients
Premier Urgent Care, LLC PastSince Oct 17, 2021 Accepting new patients

Locations

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

27900 Euclid Ave
Euclid, OH 44132
Phone (216) 331-3318

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

4200 Warrensville Center Rd
Ste 250
Warrensville Heights, OH 44122
Phone (216) 491-1178

36000 Euclid Ave
#1
Willoughby, OH 44094

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: sbailey28272@ehrdirect.uhhospitals.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18744 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

36000 Euclid Ave
Willoughby, OH 44094-4625

Mailing address

7961 Megan Meadow Dr
Hudson, OH 44236-4531
Phone (440) 785-3651

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2016.

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1356709265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7961 MEGAN MEADOW DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364531",
            "telephone_number": "440-785-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "440-953-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.