Individual provider Active NPI

Ariel Ann Shagena, CPNP-PC

  • Pediatric Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1477073047
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704306170 Issued in MI
Practice address
760 W Eisenhower Pkwy Ste 208
Ann Arbor, MI 48103-6196
Phone
(734) 769-3702
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704306170 MI Primary

Addresses

Primary practice location

760 W Eisenhower Pkwy Ste 208
Ann Arbor, MI 48103-6196

Mailing address

760 W Eisenhower Pkwy Ste 208
Ann Arbor, MI 48103-6196
Phone (734) 769-3702

Other practice location 1

13699 E Old US Highway 12
Chelsea, MI 48118-9664
Phone (734) 475-4500

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ariel.loll.1@3566.direct.athenahealth.com Direct
Direct Messaging Address ariel.shagena.1@33161.direct.athenahealth.com Direct
Direct Messaging Address ariel.loll.1@3566.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704306170MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care of Chelsea, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ariel.loll.1@3566.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ashagena503475@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1477073047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W EISENHOWER PKWY STE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036196",
            "telephone_number": "734-769-3702",
            "fax_number": "734-769-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W EISENHOWER PKWY STE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036196",
            "telephone_number": "734-769-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13699 E Old US Highway 12",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481189664",
            "country_code": "US",
            "telephone_number": "734-475-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAGENA",
        "first_name": "ARIEL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704306170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariel.loll.1@3566.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Pediatric Care of Chelsea Athena Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pediatric Care of Chelsea Athena Direct Email Address",
            "address_1": "760 W Eisenhower Pkwy Ste 208",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481036196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariel.shagena.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Pediatric Care of Chelsea Athena EMR Direct Messaging Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pediatric Care of Chelsea Athena EMR Direct Messaging Email",
            "address_1": "760 W Eisenhower Pkwy Ste 208",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481036196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariel.loll.1@3566.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Pediatric Care of Chelsea Athena Direct messaging email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pediatric Care of Chelsea Athena Direct messaging email address",
            "address_1": "13699 E Old US Highway 12",
            "city": "Chelsea",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481189664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.