SHANE KLABER PMHNP
NPI 1578369237
Nurse Practitioner - Psychiatric/Mental Health in Middletown, OH

Q: What is Shane Klaber's NPI number?

The NPI number for Shane Klaber is 1578369237. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Q: What is Shane Klaber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shane Klaber was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment

6730 ROOSEVELT AVE STE 301, MIDDLETOWN, OH 45005(513) 928-3339(513) 928-3382 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Feb 24, 2025 (3 updates tracked since 2025).

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About Shane Klaber Pmhnp NPPES

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

SHANE KLABER PMHNP (NPI 1578369237) is an individual psychiatric/mental health provider in Middletown, Ohio, licensed in Ohio (0038761) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578369237

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSHANE KLABERCredential: PMHNP

Location Address6730 ROOSEVELT AVE STE 301Middletown, OH 45005-5736

Mailing Address3481 S Dixie Hwy Ste 267Middletown, OH 45005-5717 · (513) 516-9293 · Fax (513) 995-2281

Phone(513) 928-3339

Fax(513) 928-3382

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 24, 2025

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1578369237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 0038761

6730 ROOSEVELT AVE STE 301, Middletown, OH 45005

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Secondary Practice Location 1

Location 12555 S Dixie Dr Ste 201Dayton, OH 45409-1532 · Phone (513) 516-9293 · Fax (513) 995-2281

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Shane Klaber Pmhnp 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 ID5092236604

PECOS Enrollment IDI20250311002208

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

Medicare enrollment records show Shane Klaber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sos Wellness LLC

Same address

Mental Health (Including Community Mental Health Center)

6730 ROOSEVELT AVE STE 301
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
2 clinicians in this Medicare group

NPI 1861292963 (440) 523-9966

Beacon Of Hope LLC

17 mi

Psychiatric/Mental Health

2555 S DIXIE DR STE 201
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment

NPI 1891688438 (513) 516-9293

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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 11

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

LEE ELSON

Registered Nurse