DR. SHANE DEXTER PENNA
NPI 1851282024
Family Medicine in Omaha, NE

Q: What is Shane Penna's NPI number?

The NPI number for Shane Penna is 1851282024. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Shane Penna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Penna was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 14, 2025PECOS Enrolled

983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 595-2275 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shane Dexter Penna NPPES

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

DR. SHANE DEXTER PENNA (NPI 1851282024) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (10396) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851282024

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHANE DEXTER PENNA

Location Address983075 NEBRASKA MEDICAL CTROmaha, NE 68198-3075

Mailing Address983075 Nebraska Medical CtrOmaha, NE 68198-3075 · (402) 595-2275

Phone(402) 595-2275

Sole ProprietorYes

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1851282024 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 · 10396

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.

983075 NEBRASKA MEDICAL CTR, Omaha, NE 68198

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Dexter Penna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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.

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.

DR. MANISHA ASHOK JAIN MBBS

Family Medicine