Jillian Alexis Shellabarger, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

35.122838 Issued in OH

Practice address

1522 E US Highway 36
Urbana, OH 43078-9738

Phone

(937) 653-5583

NPI assigned

Aug 26, 2010

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

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillian.shellabarger@chwplc.eclinicaldirectplus.com

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.

• Community Health & Wellness Partners of Logan County

  • Community Health Clinic/Center
  • West Liberty, OH
  • NPI 1689005357
  Medicare reassignment NPD
• Community Health & Wellness Partners of Logan County

  • Student Health Clinic/Center
  • Saint Paris, OH
  • NPI 1205641388
  NPD
• Community Health & Wellness Partners of Logan County

  • Student Health Clinic/Center
  • West Liberty, OH
  • NPI 1083215875
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Federally Qualified Health Center (FQHC)
  • De Graff, OH
  • NPI 1447965058
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Federally Qualified Health Center (FQHC)
  • Russells Point, OH
  • NPI 1962828293
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Community Health Clinic/Center
  • Bellefontaine, OH
  • NPI 1982360533
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1467768531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E US HWY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "43078",
            "telephone_number": "937-653-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789738",
            "telephone_number": "937-653-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLABARGER",
        "first_name": "JILLIAN",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.122838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.shellabarger@chwplc.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4879 US Highway 68 S",
            "city": "West Liberty",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433579525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Gerard Schneider, D.C.
• Secundum Artem Enterprises Inc
• Secundum Artem Enterprises Inc
• Ronica Segovia
• Jennifer M Sertell, DC
• Allison Shellhause, PHARMD
• Preston Charles Shields
• Silvercrest of Urbana Rehabilitation & Healthcare Center LLC
• Silvercrest of Urbana Rehabilitation & Healthcare Center LLC
• Melissa Sine

• Child & Adolescent Psychiatry Physician in Urbana, OH
• Providers in Urbana, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.