Carmen Renee Shore-Anderson, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

111191 Issued in NE

Practice address

613 Sumner St
Lincoln, NE 68502-2048

Phone

(402) 438-7958

NPI assigned

Dec 21, 2010

Sex

Female

Sole proprietor

Yes

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.

• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096

  IA

  Medicare reassignment Care Compare group NPD
• Shenandoah Medical Center

  • Certified Registered Nurse Anesthetist
  • Shenandoah, IA
  • NPI 1497810972

  IA

  Medicare reassignment Care Compare group NPD
• Shenandoah Medical Center

  • Community/Retail Pharmacy
  • Shenandoah, IA
  • NPI 1447937230
  Care Compare group NPD
• Shenandoah Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Shenandoah, IA
  • NPI 1346304524
  Care Compare group
• Shenandoah Medical Center

  • Rural Health Clinic/Center
  • Shenandoah, IA
  • NPI 1427300201
  Care Compare group
• Shenandoah Medical Center

  • Rural Health Clinic/Center
  • Sidney, IA
  • NPI 1497150825
  Care Compare group
• Shenandoah Medical Center

  • Rural Health Clinic/Center
  • Tabor, IA
  • NPI 1508487547
  Care Compare group
• Shenandoah Medical Center

  • Emergency Medicine Physician
  • Shenandoah, IA
  • NPI 1497810956
  NPD

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

• Endless Journey

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1073065033

  Hospice

  Care Compare affiliation
• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096

  Hospital

  Care Compare affiliation
• Shenandoah Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Shenandoah, IA
  • NPI 1346304524

  Nursing home

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenandoah Medical Center 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Endless Journey, LLC Hospice, Omaha, NE, CCN 281519
• Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366
• Shenandoah Medical Center Nursing home, CCN 16Z366

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmenshore-anderson@shenmed.allscriptsdirect.net

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1861795445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-228-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SUMNER ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022048",
            "telephone_number": "402-438-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE-ANDERSON",
        "first_name": "CARMEN",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "39461",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoptikal LLC
• Shoptikal LLC
• Shoptikal LLC
• Shoptikal LLC
• Shoptikal LLC
• Jayden Shore
• Katherine Rosalia Anne Shores
• Thomas Shotkoske
• Derek Shouse
• Kylee Elisabeth Showalter, ATC, LAT

• All providers in Lincoln, NE
• Acute Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.

Verify at the official NPI Registry.