Individual provider Active NPI

Angela Anne Shay, FNP

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1619535150
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024753 Issued in OH
Practice address
3700 Kolbe Rd
Lorain, OH 44053-1611
Phone
(440) 960-4000
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024753 OH Primary

Addresses

Primary practice location

3700 Kolbe Rd
Lorain, OH 44053-1611

Mailing address

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191125003137 OH Practitioner - Nurse Practitioner 3870926207 Reassigns benefits to 4 organizations
I20220412002975 FL Practitioner - Nurse Practitioner 3870926207

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
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

3439 Ctr Rd
Brunswick, OH 44212-3688
Phone (330) 741-4029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024753OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hles of Ohio, Inc. Current Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince Jul 1, 2022 Accepting new patients
Hni Medical Services of Ohio, LLC Family CurrentSince Sep 30, 2019 Accepting new patients
Hles of Ohio Inc CurrentSince Mar 25, 2021 Accepting new patients
Hles of Ohio Inc CurrentSince Mar 25, 2021 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Sep 16, 2022 Accepting new patients
Incare Health Solutions LLC CurrentSince Sep 16, 2022 Accepting new patients
Ohio Valley Physicians Inc Family Past Accepting new patients

Locations

3439 Center Rd
Brunswick, OH 44212
Phone (330) 741-4029

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Organizations & group practices 8

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1619535150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531611",
            "telephone_number": "440-960-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531611",
            "telephone_number": "440-960-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "ANGELA",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.