Individual provider Active NPI

Nicholas Benjamin Shawnik, D.O.

  • Emergency Medicine Physician
  • Newport News, VA
National Provider Identifier
1396993499
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U0931 Issued in TX
Practice address
500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929
Phone
(757) 594-2083
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 251493 NY
Emergency Medicine Physician 207P00000X 2063 NE
Emergency Medicine Physician 207P00000X DO-05348 IA
Emergency Medicine Physician 207P00000X 0102202611 VA
Emergency Medicine Physician 207P00000X DO162427 OR
Emergency Medicine Physician 207P00000X A-2330-20 NM
Emergency Medicine Physician 207P00000X U0931 TX Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929

Mailing address

500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929
Phone (757) 594-2196

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshawnik234409@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, OR, AZ, IA, NE, MO, UT, TX, NM10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20130218000489 WA Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 3 organizations
I20130820000674 CA Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization
I20131001000480 OR Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 4 organizations
I20140723002086 AZ Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 2 organizations
I20190717002159 IA Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization
I20200317001405 NE Practitioner - Emergency Medicine 5991849994
I20210330000225 MO Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization
I20220419001859 UT Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization
I20240104001621 TX Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization
I20240212000933 NM Practitioner - Emergency Medicine 5991849994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A-2330-20NMMDEmergency Medicine Physician
0102202611VAMDEmergency Medicine Physician
12744CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Dec 25, 2023 Accepting new patients
New Century Physicians of Nebraska LLC Emergency Medicine Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince May 10, 2015 Accepting new patients
West Emergency Services, LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Apr 1, 2023 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 1, 2013 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Feb 25, 2021 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jan 30, 2017 Accepting new patients
New Century Physicians of Iowa PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince May 23, 2014 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 15, 2021 Accepting new patients
New Century Physicians of Nebraska LLC Emergency Medicine CurrentSince Jan 11, 2020 Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 1, 2013 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince May 10, 2015 Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

Interoperability endpoints

  • Direct secure messaging: nshawnik633865@direct.lhs.org
  • Direct secure messaging: nshawnik234409@samhealth.direct-ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1396993499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2196",
            "fax_number": "757-594-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAWNIK",
        "first_name": "NICHOLAS",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-03-01",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "251493",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "2063",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "DO-05348",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202611",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO162427",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "A-2330-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U0931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshawnik234409@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.