Individual provider Active NPI

Shayla Hinrichsen

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1891252219
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
112717 Issued in NE
Practice address
6016 S 87TH St Ste 120
Lincoln, NE 68526-9364
Phone
(531) 242-6965
Fax
(531) 242-5285
NPI assigned
Feb 21, 2019
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112717 NE Primary

Addresses

Primary practice location

6016 S 87TH St Ste 120
Lincoln, NE 68526-9364

Mailing address

6016 S 87TH St Ste 120
Lincoln, NE 68526-9364
Phone (531) 242-6965

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
I20190429002101 NE Practitioner - Nurse Practitioner 2365784048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6016 S 87TH St
Suite 120
Lincoln, NE 68526-9364
Phone (531) 242-6965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112717NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shayla Hinrichsen, LLC Psychiatric/Mental Health CurrentSince Mar 26, 2019 Accepting new patients
Bespoke Psychiatric, LLC Psychiatric/Mental Health Current Accepting new patients

Locations

5539 S 27th St
Ste 101
Lincoln, NE 68512
Phone (402) 261-6212

6016 S 87th St
Ste 120
Lincoln, NE 68526
Phone (531) 242-6965

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1891252219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 S 87TH ST STE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269364",
            "telephone_number": "531-242-6965",
            "fax_number": "531-242-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 S 87TH ST STE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269364",
            "telephone_number": "531-242-6965",
            "fax_number": "531-242-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINRICHSEN",
        "first_name": "SHAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.