KEVIN CHI NKEZE SHU – Family Nurse Practitioner, NPI 1558803049

KEVIN CHI NKEZE SHU is a healthcare provider. based in Ravenna, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.019673 (OH). The NPI Number for KEVIN CHI NKEZE SHU is 1558803049

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CHI NKEZE SHU
NPI
1558803049
Phone
(330) 296-2819
Address
6847 N CHESTNUT ST
Enumeration Date
15 November 2016
Last Update Date
3 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
7618259086
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20170119000616
Address ID
OH440302039CO158XXRDXX400

Contacts

Secure Messaging
kevinnkezeshu@uhps.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for KEVIN CHI NKEZE SHU

  • Portage Medical Center, 6847, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States

    310

    RAVENNA, OH 442663929

    Phone: (330) 296-2819

    Type: Mailing

  • 6847 N CHESTNUT ST # 200

    RAVENNA, OH 442663929

    Phone: (330) 296-2819

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $391.

Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($171).

Total Amount

$391

General + Research + Ownership

Payments

22

Total payment records

General Amount

$391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170119000616INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes288161$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit118118$0
99497Advance care planning, first 30 minutes115113$0
G0444Annual depression screening, 5 to 15 minutes9090$0
G0447Face-to-face behavioral counseling for obesity, 15 minutes6549$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072417534View full group profile

Reviews

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Frequently asked questions

Does KEVIN CHI NKEZE SHU have a public NPI I can cite?
Public records show KEVIN CHI NKEZE SHU under NPI 1558803049.
Does the public listing show KEVIN CHI NKEZE SHU as active?
KEVIN CHI NKEZE SHU's NPI record reflects an active status in NPPES.
Which specialty label fits KEVIN CHI NKEZE SHU?
NPPES ties KEVIN CHI NKEZE SHU to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN CHI NKEZE SHU in Ravenna, Ohio?
For routing, start with Ravenna, Ohio for KEVIN CHI NKEZE SHU, then verify phone and hours locally.
Why is information missing for KEVIN CHI NKEZE SHU?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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