Individual provider Active NPI

Martha G Shipe, CNP

  • Family Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1366894677
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019365 Issued in OH
Practice address
5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Phone
(419) 824-6599
Fax
(419) 882-3870
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019365 OH Primary

Addresses

Primary practice location

5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174

Mailing address

5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Phone (419) 824-6599

Other identifiers 2

IdentifierTypeStateIssuer
1366894677MedicaidMI
0176934MedicaidOH

Other names 1

  • Martha G Wartinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshipe177924@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
I20160811001839 OH Practitioner - Nurse Practitioner 4789978826 Reassigns benefits to 4 organizations
I20200508000603 MI Practitioner - Nurse Practitioner 4789978826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

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

718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019365OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince Oct 14, 2024 Accepting new patients
The Toledo Hospital CurrentSince Oct 14, 2024 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 11, 2016 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jul 11, 2016 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Promedica Central Physicians CurrentSince Nov 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Nov 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

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

718 N Macomb St
Fl 5
Monroe, MI 48162

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

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057

2801 Bay Park Dr
#2300
Oregon, OH 43616

2801 Bay Park Dr
Ste 2300
Oregon, OH 43616

5308 Harroun Rd
Ste 55
Sylvania, OH 43560
Phone (419) 824-6599

5308 Harroun Rd
Ste 155
Sylvania, OH 43560
Phone (419) 824-6100

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

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

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

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2222 Cherry St
Ste 1250
Toledo, OH 43608
Phone (419) 251-3180

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1366894677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 55",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174",
            "telephone_number": "419-824-6599",
            "fax_number": "419-882-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 55",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174",
            "telephone_number": "419-824-6599",
            "fax_number": "419-882-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "MARTHA",
        "middle_name": "G",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366894677",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176934",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshipe177924@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "WARTINGER",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.