Kelly Arlene Shaarda, CNP
Individual provider Active NPI Family Nurse Practitioner · Greenwich, OH
NPI 1659601912 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1659601912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0035069 (OH)
- Practice address
- 65 W Main St
Greenwich, OH 44837-1030 - Phone
- (419) 752-1811
- Fax
- (419) 452-2145
- NPI assigned
- Jan 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians-North LLC
Practice addresses (Care Compare)
65 W Main St
Greenwich, OH 44837-1030
Phone (419) 752-1811
Hospital & facility affiliations
- Mercy Health - Willard Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124001674 | OH | Practitioner - Nurse Practitioner | 3476906694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0035069 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Current |
Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current |
Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
65 W Main St
Greenwich, OH 44837
Phone (419) 752-1811
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
Interoperability endpoints
- kshaarda27401@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0035069 | OH | Yes |
Addresses
Primary practice location
65 W Main St
Greenwich, OH 44837-1030
Mailing address
65 W Main St
Greenwich, OH 44837-1030
Other providers in Greenwich, OH
- Richard E Pettit
- Renee Pomposelli
- Premise Health of Ohio Medical PA
- Brenda G Ricer
- Kimberly Saxton
- Shiloh Dental Services, LLC
- Whittney Skiver
- Tamara Smith
- South Central Local School District
- Patricia G. Spears
All providers in Greenwich, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.