SHELBY LIESEMEYER MD
NPI 1730702994
Family Medicine in Minden, NE
About Shelby Liesemeyer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY LIESEMEYER MD (NPI 1730702994) is an individual family medicine provider in Minden, Nebraska, licensed in Nebraska (35278) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Pawnee County Memorial Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shelby Liesemeyer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shelby Liesemeyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minden, NE 68959
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1477585958 (Nebraska)
- 22 clinicians in this Medicare group
Pawnee City, NE 68420
- Reassigned Medicare billing, Nebraska enrollment
- 11 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pawnee County Memorial Hospital
Critical Access Hospitals · Pawnee City, NEKearney County Health Services Hospital
Critical Access Hospitals · Minden, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68959 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINDEN, NE 68959
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 Liesemeyer's NPI number?
The NPI number for Shelby Liesemeyer is 1730702994. It was assigned to this individual provider in the NPPES registry on May 22, 2020.
Where is Shelby Liesemeyer located?
Shelby Liesemeyer practices at 727 E 1st St, Minden, NE 68959. The listed phone number is (308) 832-3400.
What is Shelby Liesemeyer's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shelby Liesemeyer enrolled in Medicare?
Yes. Shelby Liesemeyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shelby Liesemeyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Liesemeyer reassigns Medicare benefits to 2 organizations: Kearney Co Health Services (Minden, NE) and Pawnee County Memorial Hospital (Pawnee City, NE). Each 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 Liesemeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Liesemeyer accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Shelby Liesemeyer 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 Liesemeyer affiliated with any hospitals?
According to CMS data, Shelby Liesemeyer is affiliated with Pawnee County Memorial Hospital and Kearney County Health Services Hospital.
When was this NPI record last updated?
The NPPES record for Shelby Liesemeyer was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shelby Liesemeyer, MD · NPI 1730702994
Family Medicine physician in Minden, Nebraska. Individual provider, active in the CMS NPPES registry since May 22, 2020.
## Identity
- **NPI:** 1730702994 (Entity type: Individual)
- **Enumerated:** May 22, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35278 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 727 E 1ST ST, Minden, NE 68959-1705
- **Phone:** (308) 832-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kearney Co Health Services (NPI 1205977873, Minden, NE); Pawnee County Memorial Hospital (NPI 1992759781, Pawnee City, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730702994) · Data from the CMS NPPES public registry.