Individual provider Active NPI

Shelby Miller, APRN

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1447898408
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113053 Issued in NE
Practice address
2730 W Faidley Ave
Grand Island, NE 68803-4107
Phone
(308) 398-5450
NPI assigned
Dec 20, 2019
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 113053 NE Primary

Addresses

Primary practice location

2730 W Faidley Ave
Grand Island, NE 68803-4107

Mailing address

2730 W Faidley Ave
Grand Island, NE 68803-4107

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
I20200317002301 NE Practitioner - Nurse Practitioner 5890123244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Partners of Nebraska PCGroup PAC ID 9436148426, 30 clinicians

Practice addresses (Care Compare)

909 22ND Ave
Kearney, NE 68845-2488
Phone (402) 420-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Nurse Practitioner CurrentSince Jan 28, 2020 Accepting new patients
Unmc Physicians CurrentSince Jun 20, 2024 Accepting new patients
Cancer Partners of Nebraska PC CurrentSince Oct 13, 2025 Accepting new patients
Cancer Partners of Nebraska PC CurrentSince Oct 13, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients

Locations

2307 Barada St
Falls City, NE 68355
Phone (402) 245-2428

2232 Chancellors Ave
Kearney, NE 68845
Phone (308) 865-2303

412 W 42nd St
Kearney, NE 68845
Phone (308) 251-2222

909 22nd Ave
Kearney, NE 68845
Phone (402) 420-7000

4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Interoperability endpoints

  • Direct secure messaging: smiller274746@direct.nebraskamed.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1447898408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034107",
            "telephone_number": "308-398-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELBY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.