Shane Raquel Gerber, C.N.P.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

NP06091 Issued in OH

Practice address

140 Fox Rd Ste 201
Van Wert, OH 45891-2492

Phone

(419) 238-3047

Fax

(419) 238-3052

NPI assigned

Feb 6, 2007

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Van Wert County Hospital AssociationGroup PAC ID 3173419405, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
• Paulding County Hospital Hospital, Paulding, OH, CCN 361300

Merit-based Incentive Payment System (MIPS)

Final score

80.04 of 100Reported as group

Quality

58.67

Promoting interoperability

98

Improvement activities

40

Cost

76.46

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgerber1039111@direct.ohiohealth.com
• Direct secure messaging: sgerber7545@direct.parkviewexchange.com

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.

• Ohiohealth Corporation

  dba OhioHealth Physician Group, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment Care Compare group NPD
• Van Wert County Hospital Association

  dba Van Wert Rural Health Clinic

  • Rural Health Clinic/Center
  • Van Wert, OH
  • NPI 1245857804
  Medicare reassignment Care Compare group NPD
• Paulding County Hospital Physician Services

  dba PCH Physician Services

  • Family Medicine Physician
  • Paulding, OH
  • NPI 1891744843
  Medicare reassignment NPD
• Paulding County Hospital

  • Critical Access Hospital
  • Paulding, OH
  • NPI 1144298514
  Medicare reassignment
• Ohiohealth Corporation

  dba OhioHealth Physician Group Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Van Wert Medical Services, LTD.

  • Family Medicine Physician
  • Van Wert, OH
  • NPI 1942268735
  NPD
• Van Wert Medical Services, LTD.

  dba Van Wert North

  • Clinic/Center
  • Van Wert, OH
  • NPI 1982107975
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Women's Healthcare Unlimited, Inc.

  • Specialist
  • Van Wert, OH
  • NPI 1104008317
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohiohealth Corporation

  dba Riverside Methodist Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  dba OhioHealth Laboratory Systems

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation
• Paulding County Hospital

  • Critical Access Hospital
  • Paulding, OH
  • NPI 1144298514
  Care Compare affiliation
• Van Wert County Hospital Association

  dba Van Wert Health

  • General Acute Care Hospital
  • Van Wert, OH
  • NPI 1942267760
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1548309503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD STE 201",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912492",
            "telephone_number": "419-238-3047",
            "fax_number": "419-238-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "SHANE",
        "middle_name": "RAQUEL",
        "name_prefix": "Ms.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "06091",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "NP06091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255901",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgerber1039111@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "140 Fox Rd Ste 201",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gastro-Intestinal Associates, Inc.
• Melissa Marie Gearhart, LSW
• Nichole T Gearhart
• Genoa Healthcare LLC
• George K Miller, Jr. Optometrists, Inc. (Miller Vision Center)
• Kendra German
• Tracy Gibson, LPN
• Adilynn C Girardot
• Ashlen Glenn
• Grand Lake Podiatry Inc

• Obstetrics & Gynecology Nurse Practitioner in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Obstetrics & Gynecology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.