CAROL SHACKLETON, M.D., P.C. – Family Medicine Physician, NPI 1194803619

CAROL SHACKLETON, M.D., P.C. is a healthcare provider. based in Gothenburg, Nebraska. specializing in Family Medicine Physician. The organization holds a License No. 16620 (NE). The NPI Number for CAROL SHACKLETON, M.D., P.C. is 1194803619

Main info

Organization
Name
CAROL SHACKLETON, M.D., P.C.
NPI
1194803619
Phone
(308) 537-7131
Address
918 20TH STREET
Authorized Official
CAROL SHACKLETON OWNER M.D.
Enumeration Date
1 November 2006
Last Update Date
9 February 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CAROL SHACKLETON, M.D., P.C.

  • Gothenburg Memorial Hospital, 918, 20th Street, Gothenburg, Dawson County, Nebraska, 69138, United States

    GOTHENBURG, NE 691381237

    Phone: (308) 537-7131

    Fax: (308) 537-7310

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 69138)

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Reviews

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Frequently asked questions

How do I look up CAROL SHACKLETON, M.D., P.C. by NPI?
Use NPI 1194803619 when you need to reference CAROL SHACKLETON, M.D., P.C. in forms, claims, or directories.
Is CAROL SHACKLETON, M.D., P.C.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CAROL SHACKLETON, M.D., P.C. treat or focus on?
Patients typically see CAROL SHACKLETON, M.D., P.C. under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for CAROL SHACKLETON, M.D., P.C.?
We surface Gothenburg, Nebraska for CAROL SHACKLETON, M.D., P.C. based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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