OrganizationActive
Carol Shackleton, M.D., P.C.
NPI 1194803619 · Family Medicine Physician · Gothenburg, NE
Provider details
- NPI number
- 1194803619
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carol Shackleton, Owner(308) 537-7131
- License
- 16620 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
918 20th Street
Gothenburg, NE 69138-1237
Phone: (308) 537-7131
Fax: (308) 537-7310
Street-level locationGet directions
Mailing address
918 20th Street
Gothenburg, NE 69138-1237
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2012-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.