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SHAWNA SUE DOWNEY NP
NPI 1306440474
Nurse Practitioner - Family in Batavia, OH

Active since November 29, 2020PECOS EnrolledAccepts Medicare Assignment
2543 BAUER RD, BATAVIA, OH 45103(513) 477-7309 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2020, Nov 29, 2020 (2 updates tracked since 2020).

About Shawna Sue Downey Np NPPES

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

SHAWNA SUE DOWNEY NP (NPI 1306440474) is an individual family provider in Batavia, Ohio, licensed in Ohio (APRN.CNP.026156) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306440474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNA SUE DOWNEYCredential: NP
Location Address2543 BAUER RDBatavia, OH 45103-2008
Mailing Address3609 Park East Dr, Ste 207Beachwood, OH 44122-4309 · (216) 360-0456 · Fax (216) 360-9449
Phone(513) 477-7309
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 29, 2020
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1306440474 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.026156
2543 BAUER RD, Batavia, OH 45103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Shawna Sue Downey Np 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 ID3173590890
PECOS Enrollment IDI20210122001093
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

5

Medicare enrollment records show Shawna Downey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Union Hospital Association
172 mi
Rural
659 BOULEVARD
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 99 clinicians in this Medicare group
NPI 1871606921 (330) 343-3311
Partners Physician Group
184 mi
Family Medicine
323 HIGH ST
Wadsworth, OH 44281
  • Reassigned Medicare billing, Ohio enrollment
  • 661 clinicians in this Medicare group
NPI 1316013550 (330) 336-3583
Physicians Link Center LLC
190 mi
Emergency Medicine
630 E RIVER ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 251 clinicians in this Medicare group
NPI 1235172925 (844) 474-4019
The Cleveland Clinic Foundation
197 mi
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1184428336 (886) 636-3318
Ues Ahuja LLC
214 mi
Emergency Medicine
3999 RICHMOND RD
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1467883934 (844) 474-4019

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
122 services120 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services41 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45103 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.

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 Shawna Downey's NPI number?

The NPI number for Shawna Downey is 1306440474. It was assigned to this individual provider in the NPPES registry on November 29, 2020.

Where is Shawna Downey located?

Shawna Downey practices at 2543 Bauer Rd, Batavia, OH 45103. The listed phone number is (513) 477-7309.

What is Shawna Downey's specialty?

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

Is Shawna Downey enrolled in Medicare?

Yes. Shawna Downey 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 Shawna Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawna Downey reassigns Medicare benefits to 5 organizations: The Union Hospital Association (Dover, OH), Partners Physician Group (Wadsworth, OH), Physicians Link Center LLC (Elyria, OH), The Cleveland Clinic Foundation (Avon, OH) and Ues Ahuja LLC (Beachwood, 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 Shawna Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawna Downey accept?

Health plans from CareSource list Shawna Downey 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 Shawna Downey affiliated with any hospitals?

According to CMS data, Shawna Downey is affiliated with Akron General Medical Center.

When was this NPI record last updated?

The NPPES record for Shawna Downey was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.