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Active NPI 1194453738 Individual Practitioner Female Practitioner

Shannon Grosse

Licensed Practical Nurse • Syracuse, NE

Professional Overview & Biography Verified Profile Summary

Shannon Grosse is a registered healthcare professional specializing in Licensed Practical Nurse in Syracuse, NE. Practice services are available at 1430 EDUCATION DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 Education Dr

Syracuse, NE 684464000

Telephone 4022692388

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Syracuse, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Syracuse, NE (583 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NE 15980

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
15980 (NE)

Secondary Practice Locations

1500 Education Dr

Syracuse, NE 684464001

Phone: 4022692381

550 7th Street, -

Syracuse, NE 68446

Phone: 4022695866

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lori Mcelhenie

Technician - Attendant Care Provider

NPI 1194597542
Jacki Stubbendick , RN

Registered Nurse - School

NPI 1295217974

Registered Nurse

Lacee Boyer-Sears

Technician - Personal Care Attendant

NPI 1770355224
Ashleigh Callahan

Psychologist - School

NPI 1841176633

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2022

Registered at 1430 EDUCATION DR, SYRACUSE, NE 684464000 (Tel: 4022692388)

📍
Updated Business Mailing Address August 11, 2022

Registered at 550 7TH STREET, -, SYRACUSE, NE 68446 (Tel: 4022695866)

👤
Provider Name / Credentials Updated August 11, 2022

Recorded as SHANNON GROSSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2022

Licensed Practical Nurse (License #15980 in NE)

🟢
Initial NPI Registration & Enumeration August 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194453738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2022
Last Update: August 11, 2022
Sole Proprietor: No

Mailing Address

550 7th Street, -

Syracuse, NE 68446

Phone: 4022695866

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.