NPIMap

Individual provider Active NPI

Shelby Eischens, MD

  • Family Medicine Physician
  • Brookings, SD
National Provider Identifier
1770529844
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7820 Issued in SD
Practice address
400 22ND Ave
Brookings, SD 57006-2497
Phone
(605) 697-9500
Fax
(605) 697-6939
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47323 MN
Family Medicine Physician 207Q00000X 7820 SD Primary

Addresses

Primary practice location

400 22ND Ave
Brookings, SD 57006-2497

Mailing address

400 22ND Ave
Brookings, SD 57006-2497
Phone (605) 697-9500

Other identifiers 13

IdentifierTypeStateIssuer
0121770OtherMNMEDICA #
HP55906OtherMNHEALTHPARTNERS #
008H6EIOtherMNMNBS #
26009OtherMNNDBS #
008H4EIOtherMNMNBS #
137007OtherMNUCARE #
09829MEOtherMNMNBS #
45610OtherMNLHS/BANNERHEALTH #
DA9041044891OtherMNPREFERRED ONE #
0123434OtherMNMEDICA #
2052390OtherMNAMERICA'S PPO/ARAZ #
382170600MedicaidMN
0123435OtherMNMEDICA #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000990 SD Practitioner - Family Practice 3678511086 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7820SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Brookings Current Accepting new patients
City of Brookings CurrentSince Jan 1, 2014 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2020 Accepting new patients
City of Brookings CurrentSince Jan 1, 2014 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
City of Brookings Current Accepting new patients
Rural Health Care, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Avera McKennan CurrentSince Aug 30, 2010 Accepting new patients
Avera McKennan CurrentSince Aug 30, 2010 Accepting new patients
Avera McKennan Current Accepting new patients
City of Brookings Past Accepting new patients

Locations

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

400 22nd Ave
Ste 1
Brookings, SD 57006
Phone (605) 697-9500

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Interoperability endpoints

  • Direct secure messaging: shelby.eischens@avera.sdhealthlink.net

Organizations & group practices 27

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 27

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota, Duluth School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Brookings 112 clinicians
Avera McKennan 957 clinicians
Rural Health Care Inc 156 clinicians

Practice addresses (Care Compare)

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

300 22ND Ave
Brookings, SD 57006-2496

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

310 22ND Ave
Brookings, SD 57006-2474

400 22ND Ave
Brookings, SD 57006-2450
Phone (605) 697-9500

Hospital & facility affiliations

  • Brookings Health System Home health agency, Brookings, SD, CCN 437030
  • Brookings Health System Hospital, Brookings, SD, CCN 430008
  • The Neighborhoods at Brookview Nursing home, Brookings, SD, CCN 435083

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1770529844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISCHENS",
        "first_name": "SHELBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47323",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "7820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0121770",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS #",
            "identifier": "HP55906",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "008H6EI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS #",
            "identifier": "26009",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "008H4EI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE #",
            "identifier": "137007",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "09829ME",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHS/BANNERHEALTH #",
            "identifier": "45610",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE #",
            "identifier": "DA9041044891",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0123434",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO/ARAZ #",
            "identifier": "2052390",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382170600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0123435",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.