Individual provider Active NPI

Shelley Kay Gorman, APRN

  • Family Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1841787512
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022637 Issued in OH
Practice address
3761 Massillon Rd
Uniontown, OH 44685-7730
Phone
(330) 899-9085
NPI assigned
Apr 18, 2018
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 APRN.CNP.022637 OH Primary

Addresses

Primary practice location

3761 Massillon Rd
Uniontown, OH 44685-7730

Mailing address

3761 Massillon Rd
Uniontown, OH 44685-7730
Phone (330) 899-9085

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
I20180618002756 OH Practitioner - Nurse Practitioner 1951656875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

7292 Fulton Dr NW
Canton, OH 44718-1525
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Aug 3, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Jan 26, 2021 Accepting new patients

Locations

7292 Fulton Dr NW
Canton, OH 44718
Phone (330) 837-3095

3761 Massillon Rd
Green, OH 44685
Phone (330) 899-9085

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 579-6173

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1841787512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "330-899-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "330-899-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SHELLEY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.