Individual provider Active NPI

Shella Baker Trego

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1922718600
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0032839 Issued in OH
Practice address
1174 E Home Rd
Springfield, OH 45503-2726
Phone
(937) 398-0354
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 0032839 OH Primary

Addresses

Primary practice location

1174 E Home Rd
Springfield, OH 45503-2726

Mailing address

543 E County Line Rd
Springfield, OH 45502-9565
Phone (937) 789-7262

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
I20231215001161 OH Practitioner - Nurse Practitioner 7810346863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

3006 N County Rd
25A Suite 104
Troy, OH 45373-1373
Phone (937) 277-4274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
89.79
Improvement activities
40
Cost
89.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0032839OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Interventional Cardiology CurrentSince May 6, 2024 Accepting new patients
Taj Medical Inc CurrentSince Dec 1, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince May 6, 2024 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

1174 E Home Rd
Springfield, OH 45503
Phone (937) 398-0354

1174 E Home Rd
Ste N
Springfield, OH 45503
Phone (937) 322-7260

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3006 N Dixie Hwy
Ste 104
Troy, OH 45373
Phone (937) 335-3518

Interoperability endpoints

  • Direct secure messaging: shella.bakertregocnp.p1@direct.springfieldcard.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1922718600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 E COUNTY LINE RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029565",
            "telephone_number": "937-789-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-398-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER TREGO",
        "first_name": "SHELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.