Individual provider Active NPI

Kristine M Shannon, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1780350728
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0029784 Issued in OH
Practice address
3590 Lucille Dr Ste 2200
Cincinnati, OH 45213-2666
Phone
(513) 458-1600
NPI assigned
Aug 19, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001349 OH Practitioner - Nurse Practitioner 2860882818 Reassigns benefits to 1 organization

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 100Reported as group
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

LicenseStateTypeSpecialty
APRN.CNP.0029784OHMDNurse Practitioner
LE00037947OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Nurse Practitioner CurrentSince Oct 4, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.