Individual provider Active NPI

Shelly A Hajny, PA

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1396984415
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1345 Issued in NE
Practice address
5010 O St
Lincoln, NE 68510-1951
Phone
(800) 253-4368
NPI assigned
Feb 12, 2009
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 1345 NE Primary

Addresses

Primary practice location

5010 O St
Lincoln, NE 68510-1951

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6254

Other identifiers 1

IdentifierTypeStateIssuer
47037658324MedicaidNE

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
I20090224000529 NE Practitioner - Physician Assistant 6305901448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Alegent Health Quick Care LLCGroup PAC ID 3476657370, 6 clinicians

Practice addresses (Care Compare)

1601 N 86TH St
100 CHI Health Clinic
Lincoln, NE 68505-3713
Phone (402) 328-7500

16909 Lakeside Hills CT
Omaha, NE 68130-4661

2510 S 40TH St
100 CHI Health Clinic
Lincoln, NE 68506-2408
Phone (402) 483-6000

5005 S 153Rd St
Suite 100
Omaha, NE 68137-5070
Phone (402) 717-1255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1345NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Quick Care LLC Physician Assistant CurrentSince Nov 21, 2016 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

5010 O St
Lincoln, NE 68510
Phone (402) 314-6704

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Interoperability endpoints

  • Direct secure messaging: shelly.hajny.1@14940.direct.athenahealth.com

Organizations & group practices 6

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 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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1396984415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101951",
            "telephone_number": "800-253-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJNY",
        "first_name": "SHELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037658324",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.