Individual provider Active NPI

Shannon Marie Kemper

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1770038481
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP19226 Issued in OH
Practice address
4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692
Phone
(513) 947-0400
Fax
(513) 947-0500
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011736 KY
Primary Care Nurse Practitioner 363LP2300X 4704410527 MI
Family Nurse Practitioner 363LF0000X APRNCNP19226 OH Primary

Addresses

Primary practice location

4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964

Other practice location 1

625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone (513) 246-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161128002527 OH Practitioner - Nurse Practitioner 5890074389 Reassigns benefits to 7 organizations
I20240228003329 TX Practitioner - Nurse Practitioner 5890074389 Reassigns benefits to 1 organization
I20240314000118 MI Practitioner - Nurse Practitioner 5890074389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

1492 S Erie Blvd
Hamilton, OH 45011
Phone (513) 847-6778

6969 Glenmeadow LN
Cincinnati, OH 45237-3001
Phone (513) 351-7007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRNCNP19226OHMDFamily Nurse Practitioner
4704410527MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Feb 1, 2021 Accepting new patients
CG Medical Associates Inc CurrentSince Feb 16, 2026 Accepting new patients
Py Medical Services of Oh Inc CurrentSince Oct 1, 2025 Accepting new patients
Vpa PC CurrentSince Sep 22, 2017 Accepting new patients
Vpa PC CurrentSince Sep 22, 2017 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince May 4, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jun 1, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Summit Medical Group, PLLC PastSince Jan 28, 2019 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

4435 Aicholtz Rd
Ste 200
Cincinnati, OH 45245
Phone (513) 947-0400

3627 Harvey Ave
Cincinnati, OH 45229
Phone (513) 961-8881

6969 Glenmeadow Ln
Cincinnati, OH 45237
Phone (513) 351-7007

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

1492 S Erie Hwy
Hamilton, OH 45011
Phone (513) 765-6890

6831 Chapel Rd
Madison, OH 44057
Phone (440) 428-5103

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1770038481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-246-1964",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 AICHOLTZ RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451692",
            "telephone_number": "513-947-0400",
            "fax_number": "513-947-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Eden Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452026005",
            "country_code": "US",
            "telephone_number": "513-246-9155",
            "fax_number": "513-487-4683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011736",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704410527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP19226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.