Penny Shaffer, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

111465 Issued in NE

Practice address

4800 Hospital Pkwy
Beatrice, NE 68310-6906

Phone

(402) 223-6518

Fax

(402) 223-6565

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Beatrice Community Hospital & Health Center Inc

  • Critical Access Hospital
  • Beatrice, NE
  • NPI 1184642894
  Medicare reassignment NPD
• Beatrice Community Hospital & Health Center Inc

  dba BCHHC Professional Services

  • Emergency Medicine Physician
  • Beatrice, NE
  • NPI 1922111855
  Medicare reassignment NPD
• Beatrice Community Hospital & Health Center Inc

  • Clinic/Center
  • Beatrice, NE
  • NPI 1013092592
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1588006522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-223-6518",
            "fax_number": "402-223-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-223-6518",
            "fax_number": "402-223-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "PENNY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "111465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scooters, Inc.
• Gary Lee Seachord, LADC
• Kimberly Seggerman
• Janalee Seibert
• Diamond Nikita Shade
• Kelsi Shay
• Jearlyn Yvonne Shelley
• Joanne Shepard
• Angela Jean Sherrill
• Jenny Lynn Shook, CNA,MED AIDE

• Pediatric Nurse Practitioner in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Pediatric Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.