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SHANE CARLLSON RN
NPI 1861823106
Registered Nurse in Bethel, AK

Active since December 12, 2013
829 CHEIF EDDIE HOFFMAN HWY, BETHEL, AK 99559(907) 549-6809(907) 543-7110 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Carllson Rn NPPES

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

SHANE CARLLSON RN (NPI 1861823106) is an individual registered nurse in Bethel, Alaska, licensed in Alaska (27765) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1861823106
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameSHANE CARLLSONCredential: RN
Location Address829 CHEIF EDDIE HOFFMAN HWYBethel, AK 99559
Mailing AddressPo Box 528Bethel, AK 99559-0528 · (907) 543-6809 · Fax (907) 543-7101
Phone(907) 549-6809
Fax(907) 543-7110
Sole ProprietorNo
Enumeration DateDecember 12, 2013
✔ NPI 1861823106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in AK · 27765
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
829 CHEIF EDDIE HOFFMAN HWY, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

Other Providers at the Same Location NPPES 3

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

DR. MATTHEW J WEST DMD
Dentist
829 CHEIF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Bethel (907) 543-6272
DEANNA HECKMAN
Social Worker
829 CHEIF EDDIE HOFFMAN HWY, SUITE 150
BETHEL, AK 99559
Bethel (907) 543-6100
LEEANNA SAMUEL WILDE
Community Health Worker
829 CHEIF EDDIE HOFFMAN HWY, SUITE 150
BETHEL, AK 99559
Bethel (907) 543-6100

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 Shane Carllson's NPI number?

The NPI number for Shane Carllson is 1861823106. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Shane Carllson located?

Shane Carllson practices at 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559. The listed phone number is (907) 549-6809.

What is Shane Carllson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shane Carllson was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.