Wendy Elizabeth Shifflet, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11517 Issued in NE

Practice address

Tri Valley Medical
1305 Hwy 6/34
Cambridge, NE 69022

Phone

(308) 697-3310

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medicine Creek CounselingGroup PAC ID 4082039789, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Medicine Creek Counseling

  • Community/Behavioral Health Agency
  • Cambridge, NE
  • NPI 1114537529
  Medicare reassignment Care Compare group NPD Authorized official
• BCPT LLC

  • Physical Therapist
  • Cambridge, NE
  • NPI 1750897807
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1952878233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 1ST ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013712",
            "telephone_number": "308-345-4884",
            "fax_number": "308-345-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRI VALLEY MEDICAL",
            "address_2": "1305 HWY 6/34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "69022",
            "telephone_number": "308-697-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Mc Cook",
            "state": "NE",
            "postal_code": "690013712",
            "country_code": "US",
            "telephone_number": "308-345-4884",
            "fax_number": "308-345-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFFLET",
        "first_name": "WENDY",
        "middle_name": "ELIZABETH",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mitchell, PHARMD
• Candice Y Moyer
• Poniday LLC
• Andrea Rice
• Georgia Christine Sexton
• Destany Simpson
• Amy E Strand, DPT
• Zoey Urling
• Victoria Nicole Viox, PA-C
• Nicole Angela Walz, PA

• Mental Health Counselor in Cambridge, NE
• Providers in Cambridge, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.