Andrew G Shahan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27922 Issued in NE

Practice address

2222 S 16TH St Ste 435
Lincoln, NE 68502-3793

Phone

(402) 476-1455

Fax

(402) 476-1670

NPI assigned

Jul 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestem HealthGroup PAC ID 6800706672, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bluestem Health

  • Federally Qualified Health Center (FQHC)
  • Lincoln, NE
  • NPI 1932156114
  Medicare reassignment Care Compare group
• Bluestem Health

  • Federally Qualified Health Center (FQHC)
  • Lincoln, NE
  • NPI 1184194557

  Family Medicine

  NPD

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

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  dba Bryan Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  dba CHI Health St. Elizabeth

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1083978134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 435",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023793",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52d Medical Group",
            "address_2": "Unit 3690",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091263690",
            "country_code": "US",
            "telephone_number": "315-452-8333",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "ANDREW",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "27922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470553011-00",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.shahan.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2301 O St",
            "address_2": "Suite 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685101124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.shahan.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "1021 N 27th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685031803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.shahan.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2222 S 16th St",
            "address_2": "Ste 435",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.shahan.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "3100 N 14th St Ste 201",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685212134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lawrence Blaine Shaffer III, M.D.
• Ryan Matthew Shaffer, D.D.S.
• Steven Eugene Shaffer, DDS
• Simran Dharmesh Shah, PA-C
• Ushaben Shah
• Alix Shalagan, DC
• Kimberly Kay Shambaugh-Miller, RN
• Barbara Sue Shamburg, LMHP
• Baseh Shamo
• Greta A Shanahan, LMHP, CPC

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.