Active NPI
Shannon Nicole Mitchell, FNP-BC
- Family Nurse Practitioner
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021182704
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021182704 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Health Medical Oh Inc | Current | Accepting new patients | |
| PA Post Acute Services PC | Current | Accepting new patients | |
| Osh-Oh Physicians Group PC | Current | Accepting new patients | |
| CNP Operating Co LLC | Current | Accepting new patients | |
| Illumia Health LLC | Current | Accepting new patients | |
| Venvisor Health Ohio LLC | Family | Current | Accepting new patients |
| Illumia Health LLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients | |
| Dialysis Access Center, LLC | Past | 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
- 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.
-
dba OSH-OH Physicians Group, LLC
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1346747946
-
- Family Medicine Physician
- Wooster, OH
- NPI 1104630912
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Akron, OH
- NPI 1740024397
-
- General Practice Physician
- Masury, OH
- NPI 1255057063
-
dba Quickmed Urgent Care
- Urgent Care Clinic/Center
- Youngstown, OH
- NPI 1528528726
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
-
- Ambulatory Surgical Clinic/Center
- Boardman, OH
- NPI 1801457478
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.