Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane Dexter Penna

Individual provider Family Medicine Physician · NPI 1851282024

Dr. Shane Dexter Penna is a Family Medicine Physician in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2025

Practice location Address checks out

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone: (402) 595-2275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10396 (NE)

Record details

NPI number1851282024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address983075 Nebraska Medical Ctr, Omaha, NE 68198-3075

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