SHANE WILSON
NPI 1053129007
Case Manager/Care Coordinator in Pickerington, OH

Active since December 23, 2024
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147(614) 729-6900 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Case Manager/Care Coordinator

About SHANE WILSON

This page provides the complete NPI Profile along with additional information for Shane Wilson, a provider established in Pickerington, Ohio with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1053129007 assigned on December 2024. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1053129007 Verify this NPI
Provider Name
SHANE WILSON
Gender
Male
Entity Type
Individual
Location Address
10400 BLACKLICK EASTERN RD PICKERINGTON, OH 43147
Location Phone
(614) 729-6900
Mailing Address
1098 CAMBRIDGE RD COSHOCTON, OH 43812
Mailing Phone
(740) 552-0375
Is Sole Proprietor?
Yes
Enumeration Date
12-23-2024
Last Update Date
12-23-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License State
OH
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0487170MEDICAID (05)OH 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
10400 BLACKLICK EASTERN RD, SUITE 110
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Orthopaedic Surgery (Foot and Ankle Surgery)
10400 BLACKLICK EASTERN RD, SUITE 110
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Social Worker
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Non-emergency Medical Transport (VAN)
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Social Worker
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Social Worker
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Social Worker (Clinical)
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Social Worker (Clinical)
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053129007, enumerated as an "individual" on December 23, 2024.

The provider is located at 10400 BLACKLICK EASTERN RD PICKERINGTON, OH 43147 and the phone number is (614) 729-6900.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.