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

Pavel Viktorovich Shishlo, APRNFNP-C

Individual provider Family Nurse Practitioner · NPI 1497340582

Pavel Viktorovich Shishlo, APRNFNP-C is a Nurse Practitioner in Athens, Ohio. Qualified in 2020, 6 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

75 Hospital Dr Ste 230
Athens, OH 45701-2859
Phone: (403) 317-2017
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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 APRN.CNP.0027952 (OH)

Record details

NPI number1497340582
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNFNP-C
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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