Active NPI
Shannan L Robenalt, CNP
- Family Nurse Practitioner
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.026239
- Practice address
- 803 W Market St Ste 200
Lima, OH 45805-2796 - Phone
- (419) 222-3737
- Fax
- (419) 229-3234
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
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.026239 | OH | Primary |
Addresses
Primary practice location
803 W Market St Ste 200
Lima, OH 45805-2796
Mailing address
803 W Market St
Lima, OH 45805-2796
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Havemann Rd
Suite B
Celina, OH 45822-1870
Phone (419) 586-0990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Gi Physicians Inc | Past | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients |
Locations
900 Havemann Rd
Ste B
Celina, OH 45822
Phone (419) 586-0990
803 W Market St
Ste 200
Lima, OH 45805
Phone (419) 222-3737
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
Interoperability endpoints
- srobenalt416358@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Gastroenterology Physician
- Lima, OH
- NPI 1851358196
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Lima Group Family Physicians
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
dba Inpatient Psych Unit
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1598303455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458052796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 W MARKET ST STE 200",
"city": "LIMA",
"state": "OH",
"postal_code": "458052796",
"telephone_number": "419-222-3737",
"fax_number": "419-229-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBENALT",
"first_name": "SHANNAN",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.