Organization Active NPI

Gsshumaker, PLLC

  • Critical Care Medicine Nurse Practitioner
  • Dakota Dunes, SD
National Provider Identifier
1306291489
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
Legal business name
GSSHUMAKER, PLLC
Practice address
921 Spyglass Cir
Dakota Dunes, SD 57049-5101
Phone
(712) 490-8422
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dawn Bauerly
Title
Practice Manager
Phone
(712) 333-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC0200X Primary

Addresses

Primary practice location

921 Spyglass Cir
Dakota Dunes, SD 57049-5101

Mailing address

PO Box 736
North Sioux City, SD 57049-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160907000528 SD Part B Supplier - Clinic/Group Practice 1052607769 Receives reassigned benefits from 1 practitioner
Practice locations: Dakota Dunes, SD
O20161130001416 IA Part B Supplier - Clinic/Group Practice 1052607769 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux City, IA; Storm Lake, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1306291489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570490736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SPYGLASS CIR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495101",
            "telephone_number": "712-490-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSSHUMAKER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "BAUERLY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "712-333-0722"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.