Individual provider Active NPI

James M. Shehan, M.D.

  • Dermatology Physician
  • Omaha, NE
National Provider Identifier
1316041734
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22767 Issued in NE
Practice address
12910 Pierce St Ste 120
Omaha, NE 68144-1106
Phone
(402) 933-3770
Fax
(402) 916-4662
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22767 NE Primary

Addresses

Primary practice location

12910 Pierce St Ste 120
Omaha, NE 68144-1106

Mailing address

12910 Pierce St
Ste 120
Omaha, NE 68144-1106
Phone (402) 933-3770

Other practice location 1

928 Valley View Dr Ste 10
Council Bluffs, IA 51503-5288
Phone (402) 933-3770

Other identifiers 2

IdentifierTypeStateIssuer
1497182273MedicaidIA
100263840-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000042 NE Practitioner - Dermatology 2365412343 Reassigns benefits to 2 organizations
I20040811000631 IA Practitioner - Dermatology 2365412343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of the Midlands PCGroup PAC ID 5890926786, 7 clinicians

Practice addresses (Care Compare)

12910 Pierce St
Omaha, NE 68144-1106
Phone (402) 991-6885

12910 Pierce St
Suite 120
Omaha, NE 68144-1105

15805 W Maple Rd
Suite 104
Omaha, NE 68116-8249
Phone (402) 933-3770

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7270

928 Valley View Dr
Suite 10
Council Bluffs, IA 51503-5288
Phone (402) 933-3770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions1415
Removal of skin cancer283
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Jul 1, 2021 Accepting new patients
Alegent Creighton Clinic PastSince Dec 28, 2013 Accepting new patients
Creighton University Dermatology Past Accepting new patients
Creighton University Past Accepting new patients

Locations

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9691/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.shehan.1@9691.direct.athenahealth.com

Organizations & group practices 5

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 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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316041734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 PIERCE ST",
            "address_2": "STE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441106",
            "telephone_number": "402-933-3770",
            "fax_number": "402-916-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 PIERCE ST STE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441106",
            "telephone_number": "402-933-3770",
            "fax_number": "402-916-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Valley View Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035288",
            "country_code": "US",
            "telephone_number": "402-933-3770",
            "fax_number": "402-933-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEHAN",
        "first_name": "JAMES",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "22767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497182273",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263840-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.