Individual provider Active NPI

Shelly M Schutte, P-AC

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1588696413
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
075825 Issued in IA
Practice address
7831 Chicago CT
Omaha, NE 68114-3654
Phone
(402) 354-1230
Fax
(402) 354-1235
NPI assigned
Jul 7, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 878 NE
Physician Assistant 363A00000X 075825 IA Primary

Addresses

Primary practice location

7831 Chicago CT
Omaha, NE 68114-3654

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 1

IdentifierTypeStateIssuer
37753OtherNEBCBSNE

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
I20080813000629 NE Practitioner - Physician Assistant 1850466673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

10710 Fort St
Omaha, NE 68134-1230
Phone (402) 354-7500

16120 W Dodge Rd
Omaha, NE 68118-2049
Phone (402) 354-0550

4932 S 202ND Ave
MPC North Streams
Omaha, NE 68135-3927
Phone (402) 815-7500

717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700

7831 Chicago CT
Omaha, NE 68114-3654
Phone (402) 561-2740

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-8163

8901 W Dodge Rd
Omaha, NE 68114-3327
Phone (402) 390-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
878NEMDOptometrist
075825IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Physicians Clinic Inc Physician Assistant CurrentSince Dec 31, 2023 Accepting new patients
Unmc Physicians PastSince Jul 1, 2019 Accepting new patients
Omaha Internal Medicine, PC Past Accepting new patients

Locations

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

7831 Chicago Ct
Omaha, NE 68114
Phone (402) 354-1230

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

Interoperability endpoints

  • Direct secure messaging: shelly.schutte@direct.nmhs.org

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 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1588696413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 CHICAGO CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143654",
            "telephone_number": "402-354-1230",
            "fax_number": "402-354-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "SHELLY",
        "middle_name": "M",
        "credential": "P-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "878",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "075825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE",
            "identifier": "37753",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.