Individual provider Active NPI

Shannon Lyn Ochoa, DNP

  • Adult Health Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1942803002
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704237490 Issued in MI
Practice address
5400 Mackinaw Rd Ste 4200
Saginaw, MI 48604-9533
Phone
(989) 791-2330
Fax
(989) 791-2329
NPI assigned
Nov 19, 2020
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 4704237490 MI
Adult Health Nurse Practitioner 363LA2200X 4704237490 MI Primary

Addresses

Primary practice location

5400 Mackinaw Rd Ste 4200
Saginaw, MI 48604-9533

Mailing address

5400 Mackinaw Rd Ste 4200
Saginaw, MI 48604-9533
Phone (989) 791-2330

Other practice location 1

2431 S M 30
West Branch, MI 48661-9312
Phone (989) 343-2487

Other practice location 2

2780 Main St
Marlette, MI 48453-1141
Phone (989) 635-1050

Other practice location 3

2050 E Caro Rd
Caro, MI 48723-9320
Phone (989) 672-5001

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address admin@ohasv.OncoEMRdirect.com
Direct Messaging Address admin@OHASV.OncoEMRdirect.com
Direct Messaging Address admin@ohasv.OncoEMRdirect.com
Direct Messaging Address admin@ohasv.OncoEMRdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210212001962 MI Practitioner - Nurse Practitioner 6002221652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
95.41
Improvement activities
40
Cost
45.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704237490MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Saginaw Valley PC CurrentSince Mar 1, 2021 Accepting new patients
Ih Physician Services, PC CurrentSince Aug 11, 2025 Accepting new patients
Ih Physician Services PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

2050 E Caro Rd
Caro, MI 48723
Phone (989) 672-5001

695 Kenmoor Ave SE
Ste B1
Grand Rapids, MI 49546
Phone (616) 438-9902

2780 Main St
Marlette, MI 48453
Phone (989) 635-1050

5400 Mackinaw Rd
Saginaw, MI 48604
Phone (989) 583-5200

5400 Mackinaw Rd
Ste 4200
Saginaw, MI 48604
Phone (989) 791-2330

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

4000 Eastern Sky Dr
Ste 2A
Traverse City, MI 49684
Phone (231) 715-3241

2431 S M 30
West Branch, MI 48661
Phone (989) 343-2487

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: admin@ohasv.oncoemrdirect.com

Organizations & group practices 3

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1942803002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD STE 4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049533",
            "telephone_number": "989-791-2330",
            "fax_number": "989-791-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD STE 4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049533",
            "telephone_number": "989-791-2330",
            "fax_number": "989-791-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 S M 30",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486619312",
            "country_code": "US",
            "telephone_number": "989-343-2487",
            "fax_number": "989-343-2497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Main St",
            "address_purpose": "LOCATION",
            "city": "Marlette",
            "state": "MI",
            "postal_code": "484531141",
            "country_code": "US",
            "telephone_number": "989-635-1050",
            "fax_number": "989-635-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239320",
            "country_code": "US",
            "telephone_number": "989-672-5001",
            "fax_number": "989-672-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCHOA",
        "first_name": "SHANNON",
        "middle_name": "LYN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "MI",
            "license": "4704237490",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704237490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2431 S M 30",
            "city": "West Branch",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486619351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@OHASV.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2780 Main St",
            "city": "Marlette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484531141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2050 E Caro Rd",
            "city": "Caro",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487239320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "5400 Mackinaw Rd Ste 4200",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.