Individual provider Active NPI

Rebecca Lynn Shonkwiler, FNP-BC

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1851186597
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038744 Issued in OH
Practice address
621 Broadway St
Portsmouth, OH 45662-4788
Phone
(740) 370-4234
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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.0038744 OH Primary

Addresses

Primary practice location

621 Broadway St
Portsmouth, OH 45662-4788

Mailing address

621 Broadway St
Portsmouth, OH 45662-4788
Phone (740) 370-4234

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
I20251209000521 OH Practitioner - Nurse Practitioner 9931693900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Committee of Pike CountyGroup PAC ID 3173432762, shared by 9 NPIs, 17 clinicians

Practice addresses (Care Compare)

13800 US Hwy 23
Waverly, OH 45690-9402
Phone (740) 947-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038744OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Committee of Pike County CurrentSince Sep 5, 2025 Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County CurrentSince Jan 25, 2026 Accepting new patients
Community Action Committee of Pike County CurrentSince Sep 5, 2025 Accepting new patients
Community Action Committee of Pike County Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients

Locations

14590 State Route 93
Jackson, OH 45640
Phone (740) 286-2826

941 Market St
Piketon, OH 45661
Phone (740) 289-2371

621 Broadway St
Portsmouth, OH 45662
Phone (740) 370-4234

13800 US Highway 23
Waverly, OH 45690
Phone (740) 947-2480

227 Valley View Dr
Waverly, OH 45690
Phone (740) 947-7726

Organizations & group practices 6

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1851186597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-370-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-370-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONKWILER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.