Individual provider Active NPI

Shiloh Quinn Whitaker Leppert

  • Acute Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1417695420
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0031781 Issued in OH
Practice address
6001 E Broad St
Columbus, OH 43213-1502
Phone
(614) 234-6000
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.463971 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0031781 OH Primary

Addresses

Primary practice location

6001 E Broad St
Columbus, OH 43213-1502

Mailing address

2470 Dunsworth Dr
Columbus, OH 43235-1969
Phone (615) 935-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220818001083 OH Practitioner - Nurse Practitioner 3173906401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.463971OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jul 17, 2022 Accepting new patients
Mount Carmel Health System CurrentSince Jul 17, 2022 Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1417695420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 DUNSWORTH DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351969",
            "telephone_number": "615-935-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131502",
            "telephone_number": "614-234-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPERT",
        "first_name": "SHILOH",
        "middle_name": "QUINN WHITAKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.463971",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0031781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.