Individual provider Active NPI

Shannon Nicole Mitchell, FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1821581273
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021182704 Issued in OH
Practice address
3551 Belmont Ave Ste 19B
Youngstown, OH 44505-1439
Phone
(330) 222-4030
Fax
(330) 230-7498
NPI assigned
Jun 11, 2018
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 2021182704 OH Primary

Addresses

Primary practice location

3551 Belmont Ave Ste 19B
Youngstown, OH 44505-1439

Mailing address

295 Park Dr
Campbell, OH 44405-1259
Phone (330) 951-5058

Other practice location 1

295 Park Dr
Campbell, OH 44405-1259
Phone (330) 951-5058

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
I20220823002681 OH Practitioner - Nurse Practitioner 4082097183 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

3551 Belmont Ave
Suite 19B
Youngstown, OH 44505-1439
Phone (330) 752-4825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021182704OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Oh Inc CurrentSince Sep 15, 2025 Accepting new patients
PA Post Acute Services PC CurrentSince Apr 26, 2025 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Apr 1, 2026 Accepting new patients
CNP Operating Co LLC CurrentSince May 25, 2025 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Venvisor Health Ohio LLC Family CurrentSince Jun 17, 2022 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Summit Medical Group, PLLC PastSince May 22, 2023 Accepting new patients
Dialysis Access Center, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

407 Willoughby Ave
Brooklyn, NY 11205

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

1552 N Honeytown Rd
Wooster, OH 44691
Phone (216) 450-1643

3551 Belmont Ave
Ste 19B
Youngstown, OH 44505
Phone (330) 222-4030

Interoperability endpoints

  • Direct secure messaging: ms_smitc159@landmarkhealth-direct.org

Organizations & group practices 10

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1821581273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PARK DR",
            "city": "CAMPBELL",
            "state": "OH",
            "postal_code": "444051259",
            "telephone_number": "330-951-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 BELMONT AVE STE 19B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051439",
            "telephone_number": "330-222-4030",
            "fax_number": "330-230-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "OH",
            "postal_code": "444051259",
            "country_code": "US",
            "telephone_number": "330-951-5058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2021182704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.