Individual provider Active NPI

Shelley Marie Vanhoozer, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1053546150
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H123302 Issued in IA
Practice address
7070 Spring St
Omaha, NE 68106-3519
Phone
(402) 343-4328
NPI assigned
May 19, 2009
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H123302 IA Primary
Adult Health Nurse Practitioner 363LA2200X 110967 NE

Addresses

Primary practice location

7070 Spring St
Omaha, NE 68106-3519

Mailing address

PO Box 642117
Omaha, NE 68164-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090618000393 NE Practitioner - Nurse Practitioner 4587714258 Reassigns benefits to 1 organization
I20091029000463 IA Practitioner - Nurse Practitioner 4587714258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Pain Clinic PCGroup PAC ID 5597834291, 9 clinicians

Practice addresses (Care Compare)

631 N 8TH St
Missouri Valley, IA 51555-1102
Phone (402) 391-7246

825 N 90TH St
Omaha, NE 68114-2702
Phone 4023917246138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.37 of 100Reported as group
Quality
78.22
Promoting interoperability
97
Improvement activities
40
Cost
72.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
H123302IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Pain Clinic PC CurrentSince Oct 14, 2019 Accepting new patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

4508 38th St
Columbus, NE 68601
Phone (402) 562-8445

825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1053546150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 SPRING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063519",
            "telephone_number": "402-343-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOZER",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H123302",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.