Eleanor R Shaw, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05190831 Issued in OH

Practice address

2257 State Route 521
Delaware, OH 43015-8754

Phone

(973) 598-5150

NPI assigned

Jul 4, 2019

Last updated

Jul 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, AZ2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Ohio-Columbus II Professional CorpGroup PAC ID 3173953460, 75 clinicians

Winslow Memorial Hospital IncGroup PAC ID 8628988409, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eleanor.shaw.1@11894.direct.athenahealth.com

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.

• Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp

  • Internal Medicine Physician
  • Chillicothe, OH
  • NPI 1861038069
  Medicare reassignment Care Compare group NPD
• Winslow Memorial Hospital Inc

  dba Little Colorado Medical Center

  • Critical Access Hospital
  • Winslow, AZ
  • NPI 1477653889
  Medicare reassignment Care Compare group NPD
• Mount Carmel Healthproviders Two LLC

  dba Mount Carmel Medical Group

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1134154750

  Nurse Practitioner

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Ohio, LLC

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1043805690

  Nurse Practitioner

  Medicare reassignment NPD
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Mount Carmel Healthproviders Two LLC

  dba Mount Carmel Breast Surgery at West

  • Surgery Physician
  • Columbus, OH
  • NPI 1528203981
  NPD
• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  NPD
• Winslow Memorial Hospital Inc

  dba Little Colorado Physicians Office

  • General Practice Physician
  • Winslow, AZ
  • NPI 1538321674
  NPD

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

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation
• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1417519943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 STATE ROUTE 521",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158754",
            "telephone_number": "973-598-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 STATE ROUTE 521",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158754",
            "telephone_number": "973-598-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ELEANOR",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F05190831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Severance
• John C Sexton
• Rosemary Seymour
• Carlee Shafer, AT
• Kavita S. Sharma, M.D.
• John Shealy, LISW, LICDC-CS
• Kevann Kimberly Sheets, LPN
• Pamela M Sheets, M.A.
• Kevin Shelton
• Audrey Shifflett, MA, CCC-SLP

• Family Nurse Practitioner in Delaware, OH
• Providers in Delaware, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.