Individual provider Active NPI

Charlene Shuler, CNP

  • Family Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1619354479
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA17399NP Issued in OH
Practice address
660 London Ave Ste a
Marysville, OH 43040-1515
Phone
(937) 642-1550
Fax
(937) 578-2821
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN342145 OH
Family Nurse Practitioner 363LF0000X COA17399NP OH Primary

Addresses

Primary practice location

660 London Ave Ste a
Marysville, OH 43040-1515

Mailing address

660 London Ave Ste a
Marysville, OH 43040-1515
Phone (937) 642-1550

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
I20150715002171 OH Practitioner - Nurse Practitioner 9638482946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

660 London Ave
Marysville, OH 43040-1515
Phone (937) 642-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN342145OHMDRegistered Nurse
COA17399NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Mar 1, 2016 Accepting new patients
Union County Physician Corporation CurrentSince Mar 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

660 London Ave
Ste A
Marysville, OH 43040
Phone (937) 578-4206

660 London Ave
Ste B
Marysville, OH 43040
Phone (937) 578-4580

1958 E US Highway 36
Ste C
Urbana, OH 43078
Phone (937) 652-1834

1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: cdettra889127@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1619354479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 LONDON AVE STE A",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401515",
            "telephone_number": "937-642-1550",
            "fax_number": "937-578-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LONDON AVE STE A",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401515",
            "telephone_number": "937-642-1550",
            "fax_number": "937-578-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "CHARLENE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN342145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA17399NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.