SHANE A DURHAM (NP-C) – Nurse Practitioner, NPI 1194264689
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,947 NURSE PRACTITIONER in NV
Provider Addresses for SHANE A DURHAM (NP-C)
8680 W CHEYENNE AVE
LAS VEGAS, NV 891297458
Phone: (702) 877-5199
Type: Location
1000, South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89145, United States
LAS VEGAS, NV 891456231
Phone: (702) 479-4881
Fax: (702) 966-8662
Type: Location
Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States
LAS VEGAS, NV 891938978
Phone: (702) 216-3346
Fax: (702) 671-6883
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-03-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170320001605 | I | Nurse Practitioner | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 31 | 31 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 30 | 30 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 18 | 18 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 14 | 14 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 13 | $0 |
Insurance plans in this area (ZIP 89129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NV | |
| - | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| - | NV |
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