Cindy Marie Shupe, MSN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11250 Issued in NE

Practice address

201 Ridge St Ste 206
Council Bluffs, IA 51503-4643

Phone

(712) 397-7460

Fax

(712) 396-7465

NPI assigned

Jan 15, 2018

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Cindy Greger Former name

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sanctuary Health, LLCGroup PAC ID 0143761916, 2 clinicians

Value Based Long Term Care B PCGroup PAC ID 4082017884, 28 clinicians

Nebraska House Call Physicians PCGroup PAC ID 7517911555, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_cshupe1@landmarkhealth-direct.org
• Direct secure messaging: sancturayhealth.cindyshupe@159815.advancedmd-direct.com

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.

• Nebraska House Call Physicians, P.C.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1811931637
  Medicare reassignment Care Compare group NPD
• Sanctuary Health, LLC

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1982475612

  IA

  Medicare reassignment Care Compare group NPD
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Iowa, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Council Bluffs, IA
  • NPI 1184041113
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, NE

  Medicare reassignment NPD
• Health at Home Consultants LLC

  • Adult Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1346566163
  NPD
• Daniel B Grossman M D Inc

  dba Marciana Group of California

  • Medical Specialty Clinic/Center
  • Orange, CA
  • NPI 1922739366
  NPD (past)

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

• Alegent Health Bergan Mercy Health System

  dba Lasting Hope Recovery Center

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  dba CHI Health Creighton University Medical Center-Bergan Mercy

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1578071320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 206",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-242-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 206",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-397-7460",
            "fax_number": "712-396-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "CINDY",
        "middle_name": "MARIE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A111729",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A111729",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "11250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "GREGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shopko Stores Operating Co LLC (ShopKo Optical 180)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 180)
• Jacqueline Short
• Kara Shroll Blue, OTD, OTR/L
• Nathan Charles Shumway, D.P.M.
• Casey Sicuso
• Elvin Dean Siebert, LISW
• Signature Properties of Council Bluffs LLC (Woodlands Rehabilitation Center)
• Timothy Ryan Silvestri, CPHT
• Brittany Victoria Simon, MD

• Primary Care Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Primary Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.