Individual provider Active NPI

Christine Ruth Shkolnick, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1457515710
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9922 Issued in WI
Practice address
1600 S. 48TH St
Lincoln, NE 68506
Phone
(402) 481-7333
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 110950 NE
Critical Care Neonatal Nurse Practitioner 363LN0005X 102057 WV
Critical Care Neonatal Nurse Practitioner 363LN0005X 56747 ID
Nurse Practitioner 363L00000X 9922 WI Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X AP60929143 WA

Addresses

Primary practice location

1600 S. 48TH St
Lincoln, NE 68506

Mailing address

1600 S. 48TH St
Lincoln, NE 68506
Phone (402) 481-7333

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
I20080809000108 NE Practitioner - Nurse Practitioner 0547334542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9922WIMDClinical Social Worker
AP60929143WAMDCritical Care Neonatal Nurse Practitioner
102057WVMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Aug 8, 2021 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
Bryan Physician Network Past Accepting new patients

Locations

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

Interoperability endpoints

  • Direct secure messaging: cwagner13521@hisp.bryanhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1457515710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-481-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S. 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-481-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKOLNICK",
        "first_name": "CHRISTINE",
        "middle_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NE",
            "license": "110950",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "WV",
            "license": "102057",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "ID",
            "license": "56747",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9922",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "WA",
            "license": "AP60929143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.