SHAWN MICHAEL MELLEY (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1790452597

SHAWN MICHAEL MELLEY (AGACNP-BC) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 845922 (NV). The NPI Number for SHAWN MICHAEL MELLEY (AGACNP-BC) is 1790452597

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN MICHAEL MELLEY (AGACNP-BC)
NPI
1790452597
Phone
(702) 781-4800
Address
3459 SAINT ROSE PKWY STE 120-481
Enumeration Date
27 August 2021
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027814800
Graduation Year
2010 (16 years ago)
PAC ID
1456749621
Group Practice PAC ID
1456887082
Professional Enrollment ID
I20211102002380
Address ID
NV890123516HE1669XPKWY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,972 NURSE PRACTITIONER in NV

Provider Addresses for SHAWN MICHAEL MELLEY (AGACNP-BC)

  • 3459 SAINT ROSE PKWY STE 120-481

    HENDERSON, NV 890524601

    Phone: (702) 781-4800

    Fax: (702) 664-6755

    Type: Mailing

  • 4355 S DURANGO DR APT 109

    LAS VEGAS, NV 891478629

    Phone: (814) 502-2140

    Type: Mailing

  • 1669 W HORIZON RIDGE PKWY STE 100

    HENDERSON, NV 890123516

    Phone: (702) 781-4800

    Fax: (702) 664-6755

    Type: Location

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: 2021-11-02

PECOS data refreshed: 2026-06-15

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
I20211102002380INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,051149$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes492111$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes30989$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6867$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 1456887082View full group profile
NameSpecialtyState
Physician AssistantNV
Pulmonary Disease, Critical Care (Intensivists)NV
Internal MedicineNV
Nurse PractitionerNV
Physician AssistantNV
Critical Care (Intensivists)NV

Reviews

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Frequently asked questions

Does SHAWN MICHAEL MELLEY (AGACNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHAWN MICHAEL MELLEY (AGACNP-BC) uses 1790452597.
Does CMS list SHAWN MICHAEL MELLEY (AGACNP-BC) as active?
Yes — SHAWN MICHAEL MELLEY (AGACNP-BC) is active in the NPI listing used on this page.
What is SHAWN MICHAEL MELLEY (AGACNP-BC)'s specialty?
The listing groups SHAWN MICHAEL MELLEY (AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SHAWN MICHAEL MELLEY (AGACNP-BC) based?
SHAWN MICHAEL MELLEY (AGACNP-BC) is tied to Henderson, Nevada in the data we show; additional addresses may exist on the full record.
Is the information about SHAWN MICHAEL MELLEY (AGACNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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