SHELBY L. STEFFEN MD
NPI 1457842791
Family Medicine in Lincoln, NE

Active since May 22, 2018PECOS Enrolled
76.56/100
CMS Quality Rating
4600 VALLEY RD STE 200, LINCOLN, NE 68510(402) 483-4571(402) 483-5633 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shelby L. Steffen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY L. STEFFEN MD (NPI 1457842791) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (TEP8236) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of University Of Nebraska College Of Medicine (2018).

NPPES Registry Identity

NPI1457842791
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELBY L. STEFFENCredential: MD
Location Address4600 VALLEY RD STE 200Lincoln, NE 68510-4882
Mailing Address4600 Valley Rd Ste 200Lincoln, NE 68510-4882 · (402) 483-4571 · Fax (402) 483-5633
Fax(402) 483-5633
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2018
Enumeration DateMay 22, 2018
✔ NPI 1457842791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · TEP8236
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 VALLEY RD STE 200, Lincoln, NE 68510

Other Identifiers 1

Medicaid470553011-00NE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby L. Steffen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42557779
PECOS Enrollment IDI20220113001018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Steffen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,800 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
842 services493 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
710 services461 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
427 services370 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
425 services408 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
381 services381 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Fall River Hospital - Cah

Critical Access Hospitals · Hot Springs, SD
OwnershipGovernment - Local
CMS Certification Number431322
Location1201 Highway 71 SouthHot Springs, SD 57747 · Fall River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.92
Promoting Interoperability97
Improvement Activities40
Cost49.46

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510
Family Medicine
4600 VALLEY RD STE 200
LINCOLN, NE 68510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Steffen's NPI number?

The NPI number for Shelby Steffen is 1457842791. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Shelby Steffen located?

Shelby Steffen practices at 4600 Valley Rd Ste 200, Lincoln, NE 68510. The listed phone number is (402) 483-4571.

What is Shelby Steffen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelby Steffen enrolled in Medicare?

Yes. Shelby Steffen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Steffen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Steffen reassigns Medicare benefits to Monument Health Rapid City Hospital, Inc. (Wall, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Steffen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Steffen accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Shelby Steffen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Steffen affiliated with any hospitals?

According to CMS data, Shelby Steffen is affiliated with Monument Health Rapid City Hospital and Fall River Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Shelby Steffen was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.