Individual provider Active NPI

Paige Nicole Shreffler, APRN.CNP.0031540

  • Family Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1801525175
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031540 Issued in OH
Practice address
2107 Rombach Ave
Wilmington, OH 45177-2099
Phone
(937) 383-1040
NPI assigned
Jun 10, 2022
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031540 OH Primary
Emergency Registered Nurse 163WE0003X RN.415606 OH

Addresses

Primary practice location

2107 Rombach Ave
Wilmington, OH 45177-2099

Mailing address

2107 Rombach Ave
Wilmington, OH 45177-2099

Other practice location 1

230 Medical Center Dr
Seaman, OH 45679-8002
Phone (937) 386-3400

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
I20220811003798 OH Practitioner - Nurse Practitioner 5597148361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tomorrow Health LLCGroup PAC ID 6709157308, 9 clinicians

Practice addresses (Care Compare)

19262 State Route 136
Winchester, OH 45697-9571
Phone (937) 695-0770

2107 Rombach Ave
Wilmington, OH 45177-2099
Phone (937) 383-1040

4881 State Route 125
Georgetown, OH 45121-9550
Phone (937) 378-3075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.415606OHMDEmergency Registered Nurse
APRN.CNP.0031540OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center Current Accepting new patients
Greater Tomorrow Health, LLC CurrentSince May 1, 2022 Accepting new patients
Adams County Regional Medical Center Past Accepting new patients
Adams County Regional Medical Center Past Accepting new patients

Locations

4881 State Route 125
Georgetown, OH 45121
Phone (937) 378-2526

217 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 346-8826

154 Elliott Ave
Peebles, OH 45660
Phone (937) 386-6937

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

2107 Rombach Ave
Wilmington, OH 45177
Phone (937) 383-1040

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/8504120b-a789-4394-b258-2f1d0cf4cda4
  • Direct secure messaging: paige.shreffler.1@18549.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1801525175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772099",
            "telephone_number": "937-383-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Seaman",
            "state": "OH",
            "postal_code": "456798002",
            "country_code": "US",
            "telephone_number": "937-386-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREFFLER",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN.CNP.0031540",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031540",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.415606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.