Active NPI
Kristine M Shannon, CNP
- Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0029784
- Practice address
- 3590 Lucille Dr Ste 2200
Cincinnati, OH 45213-2666 - Phone
- (513) 458-1600
- NPI assigned
- Aug 19, 2021
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LE00037947 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.0029784 | OH | Primary |
Addresses
Primary practice location
3590 Lucille Dr Ste 2200
Cincinnati, OH 45213-2666
Mailing address
1097 Deerhaven CT
Milford, OH 45150-2270
Phone (513) 560-5162
Other practice location 1
7798 Discovery Dr Ste F
West Chester, OH 45069-7747
Phone (513) 459-1600
Other names 1
- Kristin Shannon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Epic | Health Information Exchange (HIE) | University of Cincinnati Physicians Company, LLC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3590 Lucille Dr
Cincinnati, OH 45213-2674
Phone (513) 475-7630
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029784 | OH | MD | Nurse Practitioner |
| LE00037947 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
3590 Lucille Dr
Cincinnati, OH 45213
Phone (513) 475-7630
3590 Lucille Dr
Ste 2200
Cincinnati, OH 45213
Phone (513) 458-1600
7798 Discovery Dr
Ste F
West Chester, OH 45069
Phone (513) 459-1600
Interoperability endpoints
- kshannon93967@direct.uchealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nurse Practitioner
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
dba Alliance Medical Transport Service
- Ambulance
- Cincinnati, OH
- NPI 1689618423
Hospital
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1780350728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1097 DEERHAVEN CT",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502270",
"telephone_number": "513-560-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 LUCILLE DR STE 2200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132666",
"telephone_number": "513-458-1600"
}
],
"practiceLocations": [
{
"address_1": "7798 Discovery Dr Ste F",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450697747",
"country_code": "US",
"telephone_number": "513-459-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "LE00037947",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0029784",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Epic",
"affiliation": "Y",
"affiliationName": "University of Cincinnati Physicians Company, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "234 Goodman St",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452192364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SHANNON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.