Individual provider Active NPI

Shelly L Menard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Harlan, IA
National Provider Identifier
1720893142
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
115866 Issued in NE
Practice address
1220 Chatburn Ave
Harlan, IA 51537-2009
Phone
(712) 755-5056
Fax
(712) 755-7143
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115866 NE Primary

Addresses

Primary practice location

1220 Chatburn Ave
Harlan, IA 51537-2009

Mailing address

1220 Chatburn Ave
Harlan, IA 51537-2009
Phone (712) 755-5056

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250304001789 NE Practitioner - Nurse Practitioner 6709307978 Reassigns benefits to 1 organization
I20251208003352 IA Practitioner - Nurse Practitioner 6709307978 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Feb 11, 2025 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital CurrentSince Dec 10, 2025 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Psychiatric/Mental Health CurrentSince Dec 10, 2025 Accepting new patients
Alegent Creighton Health CurrentSince Feb 11, 2025 Accepting new patients

Locations

1220 Chatburn Ave
Harlan, IA 51537
Phone (712) 755-5056

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Chris a Myrtue Memorial Hospital 49 clinicians
Alegent Creighton Health 137 clinicians

Practice addresses (Care Compare)

1110 Morningview Dr
Harlan, IA 51537-2013
Phone (712) 755-5056

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1720893142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372009",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372009",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "115866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

Verify at the official NPI Registry.