Individual provider Active NPI

Shelly Herrington, NP

  • Nurse Practitioner
  • Bassett, NE
National Provider Identifier
1265484950
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110661 Issued in NE
Practice address
801 S State St
Bassett, NE 68714-5062
Phone
(402) 684-2906
Fax
(402) 684-3822
NPI assigned
May 17, 2006
Last updated
Jan 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110661 NE Primary

Addresses

Primary practice location

801 S State St
Bassett, NE 68714-5062

Mailing address

801 S State St
Bassett, NE 68714-5062
Phone (402) 684-2906

Other identifiers 1

IdentifierTypeStateIssuer
10025621600MedicaidNE

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
I20050204000714 NE Practitioner - Nurse Practitioner 0547211773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock County HospitalGroup PAC ID 7113970138, shared by 4 NPIs, 4 clinicians

Practice addresses (Care Compare)

801 S State St
Bassett, NE 68714-5062
Phone 4026842906154

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rock County Hospital CurrentSince Nov 29, 2010 Accepting new patients
Rock County Hospital Current Accepting new patients
Rock County Hospital CurrentSince Nov 29, 2010 Accepting new patients

Locations

102 E South St
Bassett, NE 68714
Phone (402) 684-3366

801 S State St
Bassett, NE 68714
Phone (402) 684-2730

Interoperability endpoints

  • Direct secure messaging: shelly.herrington@avera.sdhealthlink.net

Organizations & group practices 3

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 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1265484950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S STATE ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145062",
            "telephone_number": "402-684-2906",
            "fax_number": "402-684-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S STATE ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145062",
            "telephone_number": "402-684-2906",
            "fax_number": "402-684-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "SHELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025621600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.