Individual provider Active NPI

Shyla Brianne Carlson, APRN

  • Family Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1851026561
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114282 Issued in NE
Practice address
2116 W Faidley Ave
Grand Island, NE 68803-4678
Phone
(308) 382-4297
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 114282 NE Primary

Addresses

Primary practice location

2116 W Faidley Ave
Grand Island, NE 68803-4678

Mailing address

1814 12TH St
Central City, NE 68826-1013
Phone (402) 440-4882

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
I20221027000745 NE Practitioner - Nurse Practitioner 4587031976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Health Center IncGroup PAC ID 6103058607, 15 clinicians

Practice addresses (Care Compare)

104 W Seneca St
Ravenna, NE 68869-1363
Phone (308) 382-4297

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114282NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Health Center, Inc. Current Accepting new patients
Heartland Health Center Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

423 W 4th St
Grand Island, NE 68801
Phone (308) 382-4297

2116 W Faidley Ave
Ste 2100
Grand Island, NE 68803
Phone (308) 382-4297

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

104 W Seneca St
Ravenna, NE 68869
Phone (308) 236-7016

Interoperability endpoints

  • Direct secure messaging: shyla.carlson.p1@direct.heartlandhealth.nextgenshare.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 1

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1851026561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 12TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688261013",
            "telephone_number": "402-440-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034678",
            "telephone_number": "308-382-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SHYLA",
        "middle_name": "BRIANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.