Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie Balog, DNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1982171500

Shannon Marie Balog, DNP, FNP-C is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2018, 8 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone: (216) 889-6412
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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.023210 (OH)

Record details

NPI number1982171500
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESNovember 1, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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