MRS. SHELLY L RUDLOFF (LIMHP) – Counselor, NPI 1598820912
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
843 MENTAL HEALTH COUNSELOR in NE
Provider Addresses for MRS. SHELLY L RUDLOFF (LIMHP)
Boys Town National Research Hospital, 555, North 30th Street, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681312136
Phone: (402) 498-6509
Fax: (402) 498-6357
Type: Mailing
14100 CRAWFORD RD
BOYS TOWN, NE 68010
Phone: (402) 498-1439
Fax: (402) 498-1592
Type: Location
301 N 29TH STREET
NORFOLK, NE 68701
Phone: (402) 644-7329
Fax: (402) 644-7403
Type: Mailing
301 N 27TH ST
NORFOLK, NE 68701
Phone: (402) 644-7329
Fax: (402) 644-7403
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231214000319 | I | Mental Health Counselor | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| General Surgery | NE | |
| - | NE | |
| Family Practice, Emergency Medicine | NE | |
| Physician Assistant | NE | |
| - | CO |
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