Individual provider Active NPI

Shannon M Stuhlmiller, PA-C

  • Physician Assistant
  • Albion, NE
National Provider Identifier
1245940824
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2887 Issued in NE
Practice address
723 W Fairview St
Albion, NE 68620-1767
Phone
(402) 395-2191
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2887 NE Primary

Addresses

Primary practice location

723 W Fairview St
Albion, NE 68620-1767

Mailing address

PO Box 151
Albion, NE 68620-0151
Phone (402) 395-5013

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shannonstuhlmiller@boonecohealth.cernerdirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310000791 NE Practitioner - Physician Assistant 8628441763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Health CenterGroup PAC ID 1254306178, shared by 9 NPIs, 19 clinicians

Practice addresses (Care Compare)

723 W Fairview St
Albion, NE 68620-1767
Phone (402) 395-2191

Hospital & facility affiliations

  • Boone County Health Center Hospital, Albion, NE, CCN 281334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2887NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Health Center Current Accepting new patients
Boone County Health Center Physician Assistant CurrentSince Mar 1, 2023 Accepting new patients
Boone County Health Center CurrentSince Mar 1, 2023 Accepting new patients
Boone County Health Center Past Accepting new patients

Locations

1173 S 8th St
Albion, NE 68620
Phone (402) 395-5013

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

Interoperability endpoints

  • Direct secure messaging: shannonstuhlmiller@boonecohealth.cernerdirect.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.

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1245940824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200151",
            "telephone_number": "402-395-5013",
            "fax_number": "402-395-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W FAIRVIEW ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201767",
            "telephone_number": "402-395-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHLMILLER",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannonstuhlmiller@boonecohealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "723 W Fairview St",
            "city": "Albion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686201767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.