Active NPI
Shyla Brianne Carlson, APRN
- Family Nurse Practitioner
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 114282
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114282 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Health Center, Inc. | Current | Accepting new patients | |
| Heartland Health Center Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Grand Island, NE
- NPI 1275954299
-
- Community/Retail Pharmacy
- Grand Island, NE
- NPI 1982403218
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.