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SHIRLEY REDFERN CNP
NPI 1265419048
Nurse Practitioner in Toledo, OH

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
2940 N MCCORD RD, TOLEDO, OH 43615(419) 842-3000(419) 842-3042 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Mar 4, 2019 (2 updates tracked since 2019).

About Shirley Redfern Cnp NPPES

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

SHIRLEY REDFERN CNP (NPI 1265419048) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (NP-08156) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265419048
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHIRLEY REDFERNCredential: CNP
Location Address2940 N MCCORD RDToledo, OH 43615-1753
Mailing Address2940 N Mccord RdToledo, OH 43615-1753 · (419) 842-3000 · Fax (419) 842-3042
Phone(419) 842-3000
Fax(419) 842-3042
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 22, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1265419048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OH · NP-08156✔ Licensed in MI · 4704263129
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2940 N MCCORD RD, Toledo, OH 43615
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Other Identifiers 5

Medicaid2571935OH
Other126519048Hpmi
Other281776607-006OH · Mmoh
OtherP00762660OH · Rrmc
Other4724303MI · Michigan Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Redfern Cnp 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 ID7618916826
PECOS Enrollment IDI20050427000910
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shirley Redfern reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
3.0 mi
Internal Medicine
5855 MONROE ST
Sylvania, OH 43560
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1033546981 (419) 824-7334
Promedica Central Physicians
8.9 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Hles Of Ohio, Inc.
24 mi
Emergency Medicine
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 118 clinicians in this Medicare group
NPI 1679806301 (800) 998-7578
Ohiohealth Corporation
118 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services42 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
35 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services21 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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.

Other Providers at the Same Location NPPES 20

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

STEPHEN P KYSER PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
KATE EHRET RN
Registered Nurse
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. MARK G ISSA DO
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. JOHN L SCHWARTZ MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094
NORTHWEST OHIO CARDIOLOGY CONSULTANTS PC
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
CAMERON J. BURMEISTER MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
JACOB TYLER CORBETT PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. EVERETT M BUSH MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Redfern's NPI number?

The NPI number for Shirley Redfern is 1265419048. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Shirley Redfern located?

Shirley Redfern practices at 2940 N Mccord Rd, Toledo, OH 43615. The listed phone number is (419) 842-3000.

What is Shirley Redfern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shirley Redfern enrolled in Medicare?

Yes. Shirley Redfern is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shirley Redfern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Redfern reassigns Medicare benefits to 4 organizations: The Toledo Hospital (Sylvania, OH), Promedica Central Physicians (Toledo, OH), Hles Of Ohio, Inc. (Wauseon, OH) and Ohiohealth Corporation (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Redfern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Redfern accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Shirley Redfern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shirley Redfern affiliated with any hospitals?

According to CMS data, Shirley Redfern is affiliated with Promedica Monroe Regional Hospital, Grant Medical Center, Wood County Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Shirley Redfern was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.