SHANE MICHAEL BOXRZ (FNP) – Nurse Practitioner, NPI 1043930894

SHANE MICHAEL BOXRZ (FNP) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 858247 (NV). The NPI Number for SHANE MICHAEL BOXRZ (FNP) is 1043930894

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SHANE MICHAEL BOXRZ (FNP)
NPI
1043930894
Phone
(702) 595-0911
Address
1564 MISTYWOOD CT
Enumeration Date
31 August 2022
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024762287
Graduation Year
2022 (4 years ago)
PAC ID
0547639528
Group Practice PAC ID
3476955345
Professional Enrollment ID
I20221214000718
Address ID
NV891469047LA1321XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for SHANE MICHAEL BOXRZ (FNP)

  • 1564 MISTYWOOD CT

    HENDERSON, NV 890142692

    Phone: (702) 595-0911

    Type: Mailing

  • 4275 BURNHAM AVE STE 210

    LAS VEGAS, NV 891195400

    Phone: (702) 385-7669

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,500.

Total Amount is formed as General ($1,500) + Research ($0) + Ownership ($0) = $1,500.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($291).

Total Amount

$1,500

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221214000718INurse PractitionerNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,00812$0
99213Established patient office or other outpatient visit, 20-29 minutes9554$0
99214Established patient office or other outpatient visit, 30-39 minutes5734$0
96372Injection of drug or substance under skin or into muscle1614$0
View full utilization report →

Insurance plans in this area (ZIP 89014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476955345View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Internal MedicineNV
Nurse PractitionerNV
Family PracticeNV
Internal MedicineNV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

Is there an official ID for SHANE MICHAEL BOXRZ (FNP) in U.S. healthcare records?
The official identifier for SHANE MICHAEL BOXRZ (FNP) is NPI 1043930894.
Would SHANE MICHAEL BOXRZ (FNP) appear as active to a payer?
You can treat SHANE MICHAEL BOXRZ (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SHANE MICHAEL BOXRZ (FNP)?
SHANE MICHAEL BOXRZ (FNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SHANE MICHAEL BOXRZ (FNP)?
Directory geography for SHANE MICHAEL BOXRZ (FNP) centers on Henderson, Nevada.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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