Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shannon Marie Kemper

Individual provider Family Nurse Practitioner · NPI 1770038481

MS. Shannon Marie Kemper is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2015, 11 years ago. Practices with Cg Medical Associates Inc, a 171-clinician group. Licensed in Kentucky, Michigan and Ohio.

Years since qualifying
11
Licensed in
KY, MI, OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

4435 Aicholtz Rd Ste 200
Cincinnati, OH 45245-1692
Phone: (513) 947-0400
Fax: (513) 947-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRNCNP19226 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3011736 (KY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704410527 (MI)

Record details

NPI number1770038481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cg Medical Associates Inc — 171 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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