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LEA VAN KLINE-SHIVERS DMD
NPI 1790342863
Dentist - General Practice in Niles, OH

Active since May 23, 2019PECOS Enrolled
5700 YOUNGSTOWN WARREN RD STE 107, NILES, OH 44446(330) 652-3900 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2026, Jul 8, 2019, May 23, 2019 (3 updates tracked since 2019).

About Lea Van Kline-shivers Dmd NPPES

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

LEA VAN KLINE-SHIVERS DMD (NPI 1790342863) is an individual general practice provider in Niles, Ohio, licensed in Ohio (30.026183) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790342863
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLEA VAN KLINE-SHIVERSCredential: DMD
Location Address5700 YOUNGSTOWN WARREN RD STE 107Niles, OH 44446-4707
Mailing Address4225 Rush BlvdYoungstown, OH 44512-1262 · (330) 261-2434
Phone(330) 652-3900
Sole ProprietorNo
Enumeration DateMay 23, 2019
Last NPPES UpdateMay 3, 20263 updates tracked since enumeration
NPPES CertifiedMay 3, 2026
✔ NPI 1790342863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.026183
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5700 YOUNGSTOWN WARREN RD STE 107, Niles, OH 44446
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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 (PECOS)

Lea Van Kline-shivers Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lea Van Kline-shivers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Youngstown Specialty Care LLC
3.8 mi
Diagnostic Radiology
1932 NILES CORTLAND RD NE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1255009601 (330) 306-5300

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 44446 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 Lea Van Kline-shivers's NPI number?

The NPI number for Lea Van Kline-shivers is 1790342863. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Lea Van Kline-shivers located?

Lea Van Kline-shivers practices at 5700 Youngstown Warren Rd Ste 107, Niles, OH 44446. The listed phone number is (330) 652-3900.

What is Lea Van Kline-shivers's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lea Van Kline-shivers enrolled in Medicare?

Yes. Lea Van Kline-shivers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lea Van Kline-shivers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lea Van Kline-shivers reassigns Medicare benefits to Mercy Health Physicians Youngstown Specialty Care LLC (Warren, OH). The 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 Lea Van Kline-shivers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lea Van Kline-shivers accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Lea Van Kline-shivers 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.

When was this NPI record last updated?

The NPPES record for Lea Van Kline-shivers was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.