SHANON LEE MEKESA ELLIS NP-C
NPI 1043781925
Nurse Practitioner - Family in Willoughby, OH

Q: What is Shanon Mekesa Ellis's NPI number?

The NPI number for Shanon Mekesa Ellis is 1043781925. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Shanon Mekesa Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment

90.31/100

CMS Quality Rating

6005 SOM CENTER RD, WILLOUGHBY, OH 44094(440) 946-7252 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, Jun 19, 2019, Dec 17, 2018 (3 updates tracked since 2018).

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About Shanon Lee Mekesa Ellis Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANON LEE MEKESA ELLIS NP-C (NPI 1043781925) is an individual family provider in Willoughby, Ohio, licensed in Ohio (APRN.CNP.024564) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elyria, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043781925

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANON LEE MEKESA ELLISCredential: NP-C

Location Address6005 SOM CENTER RDWilloughby, OH 44094-9646

Mailing Address5725 Deer Creek DrWilloughby, OH 44094-4185 · (770) 841-3785

Phone(440) 946-7252

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 17, 2018

Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration

✔ NPI 1043781925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.024564

6005 SOM CENTER RD, Willoughby, OH 44094

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Secondary Practice Location 1

Location 1630 E River StElyria, OH 44035-5902 · Phone (440) 326-4217

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanon Lee Mekesa Ellis Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901137181

PECOS Enrollment IDI20191021000805

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.38

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA C COLE

Nurse Practitioner (Family)