Individual provider Active NPI

Shelley Ann Plescia, NP

  • Nurse Practitioner
  • Macedonia, OH
National Provider Identifier
1801551783
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0030118 Issued in OH
Practice address
911 E Aurora Rd
Macedonia, OH 44056-1905
Phone
(330) 306-9844
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0030118 OH Primary

Addresses

Primary practice location

911 E Aurora Rd
Macedonia, OH 44056-1905

Mailing address

911 E Aurora Rd
Macedonia, OH 44056-1905
Phone (330) 306-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030118OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Berman, DDS, Inc CurrentSince Nov 9, 2021 Accepting new patients
Optima Dermatology LLC PastSince Nov 9, 2021 Accepting new patients

Locations

911 E Aurora Rd
Macedonia, OH 44056
Phone (330) 306-9844

Organizations & group practices 2

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1801551783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E AURORA RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561905",
            "telephone_number": "330-306-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E AURORA RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561905",
            "telephone_number": "330-306-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESCIA",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0030118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.