Carol L. Shackleton, M.D.
Family Medicine Physician · Gothenburg, NE
Carol L. Shackleton, M.D. is a family medicine physician with a practice address in Gothenburg, Nebraska, and NPI 1629004759, issued on Jun 23, 2006. Check the license (Nebraska 16620, as entered in NPPES) on the Nebraska Board of Medicine and Surgery; the Medicare figures below come from public CMS files.
- Name
- Carol L. Shackleton
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 16620 NE
Self-reported in NPPES; status is on the state search - Practice location
- 918 20TH Street, Gothenburg, NE 69138
- Phone
- (308) 537-7131
- Enumerated
- Jun 23, 2006
- Record last updated
- Feb 9, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (308) 537-7310
- Medicaid ID
- 100253852-00 NE
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,287 in Nebraska → Look up another NPI →
Also registered at 918 20TH Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gerald Matzke, M.D.Sports Medicine (Family Medicine) Physician1154345973
- Aaron Salomon, PACPhysician Assistant1689736019
Verify Carol L. Shackleton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNebraska Board of Medicine and Surgery
Search for license 16620Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $49.09
3 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Carol L. Shackleton among 1,287 family medicine physician records in Nebraska
Carol L. Shackleton, M.D. is one of 1,287 family medicine physician records with a practice address in Nebraska. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 52% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileNo · 61% of these records are
- Record last updated2012 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Nebraska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 family medicine physician records list a practice address in Gothenburg
They are 5 of the 69 NPPES records with a practice address in Gothenburg, and 1,287 family medicine physician records in Nebraska.
All 1,287 in Nebraska → Every provider in Gothenburg → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Craig Bartruff, M.D.Gothenburg, NE 691381801833660
- Kayla Knauss, D.O.Gothenburg, NE 691381649652306
- Remmy Rocha, MDGothenburg, NE 691381871283465
- Garret Shaw, MDGothenburg, NE 691381871566695
- John Byrd, M.D.Grant, NE 691401649248220
- Ruth Demmel, MDGrant, NE 691401770580227
- Tamara Robbins, M.D.Grant, NE 691401124090907
- Trevor Bush, MDKimball, NE 691451942380431
Common questions
What is Carol L. Shackleton, M.D.'s NPI number?
Carol L. Shackleton, M.D.'s National Provider Identifier (NPI) is 1629004759, issued on Jun 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carol L. Shackleton, M.D. located?
The NPPES record lists a practice address at 918 20TH Street, Gothenburg, NE, 69138. Phone: (308) 537-7131. Providers update this record themselves, so call before visiting.
How can I verify Carol L. Shackleton, M.D.'s license?
NPPES lists Nebraska license number 16620, as entered by the provider. Search the Nebraska Board of Medicine and Surgery at https://www.nebraska.gov/LISSearch/search.cgi. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.