Active NPI
Shanon Grace McLeay, APRN-NP
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1063190478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 114947
- Practice address
- 510 South 42ND St.
Omaha, NE 68131 - Phone
- (402) 552-6007
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 114947 | NE | Primary |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 76214 | NE |
Addresses
Primary practice location
510 South 42ND St.
Omaha, NE 68131
Mailing address
985578 Nebraska Medical Ctr
Omaha, NE 68198-5578
Phone (402) 552-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76214 | NE | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| Charles Drew Health Center, Inc. | Current | Accepting new patients | |
| Charles Drew Health Center, Inc | Current | Accepting new patients | |
| Charles Drew Health Center Inc | Past | Accepting new patients |
Locations
42nd Dewey St
Omaha, NE 68198
Phone (402) 552-6244
2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Interoperability endpoints
- sdunovan35787@direct.nebraskamed.com
- shanon.mcleayaprn.p1@direct.charlesdrew.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1255302170
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1215767421
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1386218212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1063190478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985578 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985578",
"telephone_number": "402-552-6007",
"fax_number": "402-552-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SOUTH 42ND ST.",
"city": "OMAHA",
"state": "NE",
"postal_code": "68131",
"telephone_number": "402-552-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAY",
"first_name": "SHANON",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "114947",
"primary": true
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NE",
"license": "76214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.