Individual provider Active NPI

Danelle Shaw, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1922354141
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112665 Issued in NE
Practice address
4130 Pioneer Woods Dr Ste 4
Lincoln, NE 68506-7552
Phone
(402) 858-0117
Fax
(402) 477-9295
NPI assigned
Jul 25, 2012
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112665 NE Primary
Family Nurse Practitioner 363LF0000X 53-75734-041 KS

Addresses

Primary practice location

4130 Pioneer Woods Dr Ste 4
Lincoln, NE 68506-7552

Mailing address

4130 Pioneer Woods Dr
Lincoln, NE 68506-7551
Phone (402) 858-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000060 KS Practitioner - Nurse Practitioner 5799933719
I20181221002445 NE Practitioner - Nurse Practitioner 5799933719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians
MD Pain LLCGroup PAC ID 3274806807, 5 clinicians

Practice addresses (Care Compare)

207 S Engdahl Ave
Oakland Heights Assisted Living
Oakland, NE 68045-1419
Phone (402) 685-5683

4130 Pioneer Woods Dr
Suite 4
Lincoln, NE 68506-7552
Phone (402) 858-0117

450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610

450 E 23Rd St
Methodist Fremont Health Infectious Disease
Fremont, NE 68025-2303
Phone (402) 721-1610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.75 of 100Reported as group
Quality
99.13
Improvement activities
40
Cost
53.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75734-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Jan 31, 2026 Accepting new patients
Regional West Physicians Clinic Nurse Practitioner CurrentSince Dec 10, 2018 Accepting new patients
Midwest Rehabilitation, P.a. PastSince Jul 3, 2022 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

4130 Pioneer Woods Dr
Ste 4
Lincoln, NE 68506
Phone (402) 858-0117

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 2300
Scottsbluff, NE 69361
Phone (308) 630-1055

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1922354141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067551",
            "telephone_number": "402-858-0117",
            "fax_number": "402-477-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 4",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-858-0117",
            "fax_number": "402-477-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DANELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112665",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75734-041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.