Individual provider Active NPI

Shannon N Powers, MSN, CRNP, ACNP-BC

  • Acute Care Nurse Practitioner
  • Akron, OH
National Provider Identifier
1649534058
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA13463-NP Issued in OH
Practice address
701 White Pond Dr
Akron, OH 44320-1155
Phone
(330) 926-3322
Fax
(330) 926-3342
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 290743 OH
Acute Care Nurse Practitioner 363LA2100X COA13463-NP OH Primary

Addresses

Primary practice location

701 White Pond Dr
Akron, OH 44320-1155

Mailing address

701 White Pond Dr
Akron, OH 44320-1155
Phone (330) 926-3322

Other identifiers 1

IdentifierTypeStateIssuer
0067591MedicaidOH

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
I20120807000311 OH Practitioner - Nurse Practitioner 5395991368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

201 5TH St NE
Barberton, OH 44203-3017

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
290743OHMDRegistered Nurse
COA13463-NPOHMDAcute Care Nurse Practitioner
APRN.CNP.134OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Apr 26, 2021 Accepting new patients
Summa Physicians LLC CurrentSince Apr 26, 2021 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

701 White Pond Dr
Akron, OH 44320
Phone (330) 835-3922

95 Arch St
Ste 215
Akron, OH 44304
Phone (330) 374-0009

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

201 5th St NE
Ste 2
Barberton, OH 44203
Phone (330) 475-1616

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3378 W Market St
Fairlawn, OH 44333
Phone (330) 576-3500

Interoperability endpoints

  • Direct secure messaging: spowers28817@summahealth-direct.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1649534058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201155",
            "telephone_number": "330-926-3322",
            "fax_number": "330-926-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201155",
            "telephone_number": "330-926-3322",
            "fax_number": "330-926-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "MSN, CRNP, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "290743",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA13463-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.