Warren Eric Shaulis, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000860 Issued in SD

Practice address

172 4TH St SE
Huron, SD 57350-2510

Phone

(605) 353-6200

Fax

(605) 353-6300

NPI assigned

Jun 28, 2014

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, TX, NE3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Memorial HospitalGroup PAC ID 3072403575, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gordon Memorial Hospital

  dba Gordon Memorial Hospital Physical Therapy

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Medicare reassignment Care Compare group
• Avera Gettysburg

  dba Avera Missouri River Health Center

  • Critical Access Hospital
  • Gettysburg, SD
  • NPI 1003887266
  Medicare reassignment NPD
• Avera Gettysburg

  dba Avera Medical Group Gettysburg

  • Internal Medicine Physician
  • Gettysburg, SD
  • NPI 1366091357
  Medicare reassignment NPD
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gordon Memorial Hospital

  dba Gordon Memorial Hospital Physical Therapy

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Care Compare affiliation

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1497160436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200",
            "fax_number": "605-353-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200",
            "fax_number": "605-353-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAULIS",
        "first_name": "WARREN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Maren Schoenhard, RPH
• Sean Patrick Schooley, MD
• Jennifer Schroder, D.C.
• Jim Schwaiger, MD
• Ashley Sehr
• Courtney Siegfried, SLP
• Callie Simpson, LMFT
• Kolton Snedaker, PHARMD
• Sara Solem, PHARMD
• Jessica A Sopko, MSW, LCSW

• Family Nurse Practitioner in Huron, SD
• Providers in Huron, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.