Individual provider Active NPI

Shannon Lynn McDonald, APRN

  • Family Nurse Practitioner
  • Columbus, NE
National Provider Identifier
1659998748
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2140 Issued in NE
Practice address
4321 41St Ave
Columbus, NE 68601-2131
Phone
(402) 562-7500
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2140 NE Primary

Addresses

Primary practice location

4321 41St Ave
Columbus, NE 68601-2131

Mailing address

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

Other identifiers 1

IdentifierTypeStateIssuer
2140OtherNEAPRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smcdonald@ecdhd.ne.gov Direct

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
I20201116001774 NE Practitioner - Nurse Practitioner 1759792187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Neighbor Community Health Center 16 clinicians

Practice addresses (Care Compare)

2740 N Clarkson St
Fremont, NE 68025-7702
Phone (402) 721-0951

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Community Health Center CurrentSince Oct 1, 2020 Accepting new patients
Good Neighbor Community Health Center CurrentSince Oct 1, 2020 Accepting new patients
Good Neighbor Community Health Center Past Accepting new patients

Locations

4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500

2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090

401 Adam St
Schuyler, NE 68661
Phone (402) 352-3527

200 W 10th St
Schuyler, NE 68661
Phone (402) 352-5514

Interoperability endpoints

  • Direct secure messaging: shannon.mcdonald.p1@direct.goodneighbor.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1659998748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "2140",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcdonald@ecdhd.ne.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "East Central",
            "address_1": "4321 41st Ave",
            "city": "Columbus",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686012131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.