Individual provider Active NPI

Shelley Reams

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1811312465
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170054 Issued in VA
Practice address
1688 Laskin Rd
Virginia Beach, VA 23451-6114
Phone
(757) 471-3943
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170054 VA Primary

Addresses

Primary practice location

1688 Laskin Rd
Virginia Beach, VA 23451-6114

Mailing address

1800 Camelot Dr
Ste 200
Virginia Beach, VA 23454-2440
Phone (757) 252-9600

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
I20231106003596 OH Practitioner - Nurse Practitioner 8729201165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

1315 W Lane Ave
Suite D
Columbus, OH 43221-3544
Phone (614) 457-4827

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170054VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 27, 2023 Accepting new patients
Maternohio Clinical Associates LLC CurrentSince Feb 1, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 27, 2023 Accepting new patients

Locations

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

10244 Sawmill Pkwy
Powell, OH 43065
Phone (614) 457-4827

Interoperability endpoints

  • Direct secure messaging: shelley.reams.p9@direct.maternohio.nextgenshare.com
  • Direct secure messaging: sreams240563@direct.sentara.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1811312465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR",
            "address_2": "STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-252-9600",
            "fax_number": "757-351-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 LASKIN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516114",
            "telephone_number": "757-471-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAMS",
        "first_name": "SHELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.