Active NPI
Shawn Patrick Millison, APRN.CNP
- Family Nurse Practitioner
- Poland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029096
- Practice address
- 715 E Western Reserve Rd
Poland, OH 44514-3358 - Phone
- (330) 726-3204
- Fax
- (330) 729-9316
- NPI assigned
- Jun 18, 2021
- Last updated
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0029096 | OH | Primary |
Addresses
Primary practice location
715 E Western Reserve Rd
Poland, OH 44514-3358
Mailing address
4681 Mahoning Ave NW
Warren, OH 44483-1418
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029096 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Zachary F. Veres D.O., LLC | Current | Accepting new patients | |
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Champion Med Express Care LLC | Current | Accepting new patients | |
| Verodana, Inc | Current | Accepting new patients | |
| Community Action Agency of Columbiana County, Inc | Past | Accepting new patients | |
| Community Action Agency of Columbiana County Inc | Past | Accepting new patients |
Locations
16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777
16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870
7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686
2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255
103 W Main St
Salineville, OH 43945
Phone (330) 679-2303
4681 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-7778
4687 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-1132
Interoperability endpoints
- shawn.millison.p1@direct.sandy.nextgenshare.com
Organizations & group practices 7
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.
-
dba CAA Health Center at Lisbon
- Federally Qualified Health Center (FQHC)
- Lisbon, OH
- NPI 1821041401
-
- Urgent Care Clinic/Center
- Warren, OH
- NPI 1881356210
-
dba Frank G. Veres, DO and Zachary F. Veres, DO
- Family Medicine Physician
- Warren, OH
- NPI 1922320175
-
- Family Medicine Physician
- Warren, OH
- NPI 1578939310
-
dba United Local School Based Health Center
- Federally Qualified Health Center (FQHC)
- Hanoverton, OH
- NPI 1225914112
-
dba CAA Health, Behavioral Health and Dental Center at Melhorn
- Federally Qualified Health Center (FQHC)
- Salineville, OH
- NPI 1508114893
-
dba CAA Health Center at Salem
- Federally Qualified Health Center (FQHC)
- Salem, OH
- NPI 1356064414
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Regional Medical Center
- General Acute Care Hospital
- Salem, OH
- NPI 1639131535
-
dba SRMC Ancillary Services
- Radiology Clinic/Center
- Calcutta, OH
- NPI 1750227377
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1477122174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4681 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444831418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143358",
"telephone_number": "330-726-3204",
"fax_number": "330-729-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLISON",
"first_name": "SHAWN",
"middle_name": "PATRICK",
"credential": "APRN.CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0029096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.