Active NPI
Shelly L Menard, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Harlan, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 115866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Shelby County Chris a Myrtue Memorial Hospital | Current | Accepting new patients | |
| Shelby County Chris a. Myrtue Memorial Hospital | Psychiatric/Mental Health | Current | Accepting new patients |
| Alegent Creighton Health | Current | 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.
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
IA
-
- Family Medicine Physician
- Harlan, IA
- NPI 1922184175
IA, Psychiatric/Mental Health
-
- Critical Access Hospital
- Harlan, IA
- NPI 1043316953
-
- Community Based Hospice Care Agency
- Harlan, IA
- NPI 1134225048
-
- Rural Health Clinic/Center
- Shelby, IA
- NPI 1316054034
-
- Home Health Agency
- Harlan, IA
- NPI 1396847521
-
- Rural Health Clinic/Center
- Earling, IA
- NPI 1417342288
-
- Rural Health Clinic/Center
- Elk Horn, IA
- NPI 1467569905
-
- Rural Health Clinic/Center
- Avoca, IA
- NPI 1841393493
-
- Rural Health Clinic/Center
- Harlan, IA
- NPI 1992817886
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Harlan, IA
- NPI 1831717552
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 HospitalAlegent Creighton Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.