Lindsey L Shannon, PA-C
Physician Assistant in Omaha, NE. Individual provider (NPI-1).
NPI number1629492004
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1629492004
- Entity type
- Individual (NPI-1)
- Name
- Lindsey L Shannon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2014
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1796 | NE | Yes |
Practice location
2725 S 144th St Ste 212Omaha, NE 68144-5253
Phone 402-637-0800 · Fax 402-637-0808
Mailing address
2725 S 144th St Ste 212Omaha, NE 68144-5253
Phone 402-637-0800 · Fax 402-637-0808
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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