Individual provider Active NPI

Shauncey Mariah-Kay Bernecker, NP

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1417424375
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP.023879 Issued in OH
Practice address
7545 Beechmont Ave Ste D
Cincinnati, OH 45255-4238
Phone
(513) 206-1320
Fax
(513) 232-8483
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP.023879 OH
Acute Care Nurse Practitioner 363LA2100X CNP.023879 OH Primary

Addresses

Primary practice location

7545 Beechmont Ave Ste D
Cincinnati, OH 45255-4238

Mailing address

237 William Howard Taft Rd
Cincinnati, OH 45219-2610

Other names 1

  • Shauncey Mariah-Kay Turi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20181204002604 OH Practitioner - Nurse Practitioner 9335483254 Reassigns benefits to 1 organization
I20230309002721 IN Practitioner - Nurse Practitioner 9335483254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 933-5110

7545 Beechmont Ave
Suite D
Cincinnati, OH 45255-4238
Phone (513) 206-1320

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.023879OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Acute Care CurrentSince Dec 1, 2018 Accepting new patients
Christ Hospital Cardiology Assoc Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

7545 Beechmont Ave
Ste D
Cincinnati, OH 45255
Phone (513) 206-1060

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2139 Auburn Ave
#47
Cincinnati, OH 45219

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

Organizations & group practices 2

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1417424375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE STE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554238",
            "telephone_number": "513-206-1320",
            "fax_number": "513-232-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNECKER",
        "first_name": "SHAUNCEY",
        "middle_name": "MARIAH-KAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "CNP.023879",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "CNP.023879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNCEY",
            "last_name": "TURI",
            "middle_name": "MARIAH-KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.