Individual provider Active NPI

Richard John Sheely, CNP

  • Acute Care Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1508009283
Registry record updated Apr 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN.283029-COA1 Issued in OH
Practice address
771 N Freedom St
Ravenna, OH 44266-2470
Phone
(330) 297-1733
NPI assigned
Apr 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN.283029-COA1 OH Primary

Addresses

Primary practice location

771 N Freedom St
Ravenna, OH 44266-2470

Mailing address

9540 Nighthawk Dr
Chagrin Falls, OH 44023-1943
Phone (330) 360-2170

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
I20090706000490 OH Practitioner - Nurse Practitioner 6800947755 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.283029-COA1OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Austintown LLC CurrentSince Apr 15, 2017 Accepting new patients
Physicians Link Center LLC CurrentSince Jun 15, 2020 Accepting new patients
Ues Ahuja LLC CurrentSince Sep 15, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Apr 15, 2017 Accepting new patients
Ues Geauga, LLC CurrentSince Sep 15, 2020 Accepting new patients
The Metrohealth System CurrentSince Jun 3, 2022 Accepting new patients
4M Hospitalist Services, LLC CurrentSince Apr 15, 2017 Accepting new patients
The Metrohealth System CurrentSince Jun 3, 2022 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

411 Devon Pl
Ste A
Kent, OH 44240
Phone (330) 677-7680

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: rsheely211123@direct.metrohealth.org

Organizations & group practices 10

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": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239408000000",
    "number": "1508009283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 NIGHTHAWK DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231943",
            "telephone_number": "330-360-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 N FREEDOM ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662470",
            "telephone_number": "330-297-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELY",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2009-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN.283029-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.