Individual provider Active NPI

Sheena Ann Gates, APRN

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1629405147
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020753 Issued in OH
Practice address
1505 N Cole St
Lima, OH 45801-2432
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Sep 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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.020753 OH Primary

Addresses

Primary practice location

1505 N Cole St
Lima, OH 45801-2432

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other identifiers 1

IdentifierTypeStateIssuer
1629405147MedicaidOH

Other names 1

  • Sheena Ann Lee Former name

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
I20170630001260 OH Practitioner - Nurse Practitioner 9234408493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

1505 N Cole St
Lima, OH 45801-2432
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020753OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jan 19, 2022 Accepting new patients
Brightview LLC CurrentSince May 18, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

1505 N Cole St
Lima, OH 45801
Phone (866) 538-2161

1655 Holland Rd
Ste F
Maumee, OH 43537
Phone (419) 482-0948

1445 W Main St
Newark, OH 43055
Phone (740) 788-0239

974 N 21st St
Newark, OH 43055
Phone (740) 281-0965

1830 W High St
Piqua, OH 45356
Phone (330) 299-9421

38886 Mentor Ave
Willoughby, OH 44094
Phone (440) 283-3337

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.

NPI Registry JSON

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1629405147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N COLE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012432",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "SHEENA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629405147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "LEE",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.