SHANNON RAVESI – Advanced Practice Midwife, NPI 1144968389

SHANNON RAVESI is a healthcare provider. based in Las vegas, Nevada. specializing in CERTIFIED NURSE MIDWIFE (CNM). The NPI Number for SHANNON RAVESI is 1144968389

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON RAVESI
NPI
1144968389
Phone
(702) 438-4692
Address
6250 N Durango Dr
Enumeration Date
26 May 2022
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024384692
Graduation Year
2022 (4 years ago)
PAC ID
5698135838
Group Practice PAC ID
4082845664
Professional Enrollment ID
I20230720000404
Address ID
NV891064020LA517XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

40 CERTIFIED NURSE MIDWIFE (CNM) in NV

Provider Addresses for SHANNON RAVESI

  • 6250 N Durango Dr

    Las Vegas, NV 891493916

    Phone: (702) 438-4692

    Fax: (702) 485-2372

    Type: Location

  • 3930 W Ann Rd

    North Las Vegas, NV 890313841

    Phone: (702) 438-4692

    Fax: (702) 485-2372

    Type: Location

  • 6733 CURLEWS CT

    NORTH LAS VEGAS, NV 890842688

    Phone: (702) 493-1334

    Type: Mailing

  • 6850 N DURANGO DR STE 401

    LAS VEGAS, NV 891494598

    Phone: (702) 463-2981

    Type: Location

  • 8906 SPANISH RIDGE AVE STE 202

    LAS VEGAS, NV 891481319

    Phone: (702) 330-3102

    Fax: (702) 912-4994

    Type: Mailing

  • 517 ROSE ST

    LAS VEGAS, NV 891064020

    Phone: (702) 438-4692

    Fax: (702) 485-2372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $504.

Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($178).

Total Amount

$504

General + Research + Ownership

Payments

19

Total payment records

General Amount

$504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

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: 2023-07-20

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
I20230720000404ICertified Nurse Midwife (Cnm)NVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89149)

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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: 4082845664View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
-NV
O B S T E T R I C S/ G Y N E C O L O G YNV
Physician AssistantNV
-NV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Is there an official ID for SHANNON RAVESI in U.S. healthcare records?
The official identifier for SHANNON RAVESI is NPI 1144968389.
Active or inactive — what applies to SHANNON RAVESI?
You should see SHANNON RAVESI as active in CMS-hosted NPPES data.
What kind of doctor is SHANNON RAVESI?
SHANNON RAVESI is associated with Advanced Practice Midwife in the directory — Clinical services aligned with this taxonomy classification.
Is SHANNON RAVESI associated with Las Vegas?
Public fields place SHANNON RAVESI around Las Vegas, Nevada. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHANNON RAVESI?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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