Shuhan He

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021168 Issued in CA

Practice address

9045 Bruceville Rd
Elk Grove, CA 95758-5948

Phone

(916) 479-9110

NPI assigned

Jun 7, 2022

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 MA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Lynn Urgent Care LLCGroup PAC ID 1951732825, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shuhan.he.1@29271.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 and National Provider Directory roles.

• Carbon Health Medical Group of Massachusetts PC

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528836897
  Medicare reassignment Care Compare group NPD
• Lynn Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lynn, MA
  • NPI 1992342075
  Medicare reassignment Care Compare group NPD
• Patriot Urgent Care Professionals, PC

  • Urgent Care Clinic/Center
  • Waltham, MA
  • NPI 1417205105
  Medicare reassignment NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • Cambridge, MA
  • NPI 1245123587
  NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • North Andover, MA
  • NPI 1609439413
  NPD
• Elk Grove Urgent Care Inc

  • Urgent Care Clinic/Center
  • Elk Grove, CA
  • NPI 1285812024
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1497484240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 PACIFIC HILLS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285139",
            "telephone_number": "510-358-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585948",
            "telephone_number": "916-479-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "SHUHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unkown",
            "affiliation": "N",
            "endpointDescription": "unkown",
            "address_1": "9045 Bruceville Rd",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957585948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Hayes
• Chanae Joi Haylock, PMHNP
• Alexandria Haynes
• Iyawnna Hazzard
• Miona He
• Yong He, MD
• Healing and Growth Counseling Services
• Healing Mind Psychiatric Nursing PC
• Healing Soul Services PC
• Healing Soulutions Therapy, LLC

• Family Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.