Active NPI
Shirley Ann Claassen, MD
- General Practice Physician
- Lynch, NE
National Provider Identifier
1891720710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10454
- Practice address
- 401 S Fifth St
Lynch, NE 68746-3013 - Phone
- (402) 569-3060
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10454 | NE | Primary |
Addresses
Primary practice location
401 S Fifth St
Lynch, NE 68746-3013
Mailing address
PO Box 107
Bristow, NE 68719-0107
Phone (402) 569-3060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092712 | Other | NE | MEDICARE |
| 5900050 | Medicaid | SD | |
| 47048743401 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1891720710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 107",
"city": "BRISTOW",
"state": "NE",
"postal_code": "687190107",
"telephone_number": "402-569-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S FIFTH ST",
"city": "LYNCH",
"state": "NE",
"postal_code": "687463013",
"telephone_number": "402-569-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAASSEN",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "10454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "092712",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900050",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47048743401",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynch, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.