Active NPI
Shelly M Schutte, P-AC
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 075825
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37753 | Other | NE | BCBSNE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 878 | NE | MD | Optometrist |
| 075825 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Physician Assistant | Current | Accepting new patients |
| Unmc Physicians | Past | 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
- 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.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
Physician Assistant
-
- Interventional Pain Medicine Physician
- Fremont, NE
- NPI 1316011315
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1811926629
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.