Shelby Marie Johnson, | |
2000 Q St Ste 500, Lincoln, NE 68503-3610 | |
(402) 484-4940 | |
Not Available |
Full Name | Shelby Marie Johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 2000 Q St Ste 500, Lincoln, Nebraska |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104334804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 80348 (Nebraska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 120522 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health Bergan Mercy | Omaha, NE | Hospital |
Chi Health Midlands | Papillion, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chi Health Clinic Physician Enterprise-anesthesia Llc | 2264794569 | 174 |
Chi Health Clinic Physician Enterprise-anesthesia Llc | 2264794569 | 174 |
Entity Name | Chi Health Clinic Physician Enterprise-anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356858419 PECOS PAC ID: 2264794569 Enrollment ID: O20180404000022 |
Entity Name | Orthoanesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184265274 PECOS PAC ID: 2860826443 Enrollment ID: O20200107003507 |
Mailing Address | Practice Location Address |
---|---|
Shelby Marie Johnson, 11284 Bauman Ave, Omaha, NE 68164-6807 Ph: () - | Shelby Marie Johnson, 2000 Q St Ste 500, Lincoln, NE 68503-3610 Ph: (402) 484-4940 |
Emily Noel Stutzman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 555 S 70th St, Lincoln, NE 68510 Phone: 402-219-8000 | |
Matthew C. Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6911 Van Dorn St Ste 2, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279 | |
Eric Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 S 70th Street, Suite # 450, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279 | |
Hillary Marie Bonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601 | |
Clark Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 S 60th St Apt 21, Lincoln, NE 68506 Phone: 402-613-2633 | |
Priscilla Boyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601 | |
Carl C Blackwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5701 Lillibridge St Apt 10, Lincoln, NE 68506 Phone: 607-349-9774 |