Individual provider Active NPI

Shauna Lindstedt Easterday

  • Obstetrics & Gynecology Physician
  • North Platte, NE
National Provider Identifier
1730746249
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36016 Issued in NE
Practice address
1115 S Willow St
North Platte, NE 69101-6082
Phone
(308) 534-4804
Fax
(308) 534-0460
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 94-09837 KS
Obstetrics & Gynecology Physician 207V00000X 04-47751 KS
Obstetrics & Gynecology Physician 207V00000X 36016 NE Primary

Addresses

Primary practice location

1115 S Willow St
North Platte, NE 69101-6082

Mailing address

1115 S Willow St
North Platte, NE 69101-6082
Phone (308) 534-4804

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003400 NE Practitioner - Obstetrics/Gynecology 4284960931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte OB/GYN PCGroup PAC ID 8820088701, 7 clinicians

Practice addresses (Care Compare)

1115 S Willow St
North Platte, NE 69101-6082
Phone (308) 534-4804

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Cozad Community Hospital Hospital, Cozad, NE, CCN 281327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte OB/GYN PC Obstetrics & Gynecology CurrentSince Jan 4, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

1115 S Willow St
North Platte, NE 69101
Phone (308) 532-4700

Interoperability endpoints

  • Direct secure messaging: slindstedteasterday457787@direct.nebraskamed.com

Organizations & group practices 2

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.

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1730746249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S WILLOW ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016082",
            "telephone_number": "308-534-4804",
            "fax_number": "308-534-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S WILLOW ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016082",
            "telephone_number": "308-534-4804",
            "fax_number": "308-534-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTEDT EASTERDAY",
        "first_name": "SHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "94-09837",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-47751",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "36016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.