Individual provider Active NPI

Shawna Irene Nievierowski, FNP-BC

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1417196395
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704230670 Issued in MI
Practice address
1015 S Washington Ave Ste E
Saginaw, MI 48601
Phone
(989) 907-7636
Fax
(989) 907-7584
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704230670 MI
Family Nurse Practitioner 363LF0000X 4704230670 MI Primary

Addresses

Primary practice location

1015 S Washington Ave Ste E
Saginaw, MI 48601

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 907-7636

Other identifiers 1

IdentifierTypeStateIssuer
1417196395MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address snievierowski6962@direct.covenanthealthcare.com
Direct Messaging Address shawnanievierowski@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20231103002066 SC Practitioner - Nurse Practitioner 0244389013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, shared by 11 NPIs, 197 clinicians

Practice addresses (Care Compare)

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27768SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Oct 9, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Oct 9, 2023 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: shawna.nievierowski.1@16436.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1417196395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-907-7636",
            "fax_number": "989-907-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE STE E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-907-7636",
            "fax_number": "989-907-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVIEROWSKI",
        "first_name": "SHAWNA",
        "middle_name": "IRENE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704230670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704230670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417196395",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snievierowski6962@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave Ste E",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawnanievierowski@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave Ste E",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.