Shane Michael Boxrz, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

858247 Issued in NV

Practice address

4275 Burnham Ave Ste 210
Las Vegas, NV 89119-5400

Phone

(702) 385-7669

NPI assigned

Aug 31, 2022

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Las Vegas Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1447656988

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pacifica Healthcare Providers LLC

  dba CiTi MD

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1528628633

  Single Specialty

  Medicare reassignment NPD
• Expertise Billing Service LLP

  dba Expertise Medical Group

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1992394605

  Single Specialty

  NPD
• Medinix Medical Services Singh PLLC

  dba Astrana Care of Nevada

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1164098810

  Single Specialty

  NPD
• Apollocare Partners of Nevada, Inc.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1316640618
  NPD (past)
• Boulder Primary Care Inc.

  • Primary Care Nurse Practitioner
  • Boulder City, NV
  • NPI 1780059675

  Single Specialty

  NPD (past)
• Lake Mountain Chiropractic, Inc

  • Chiropractor
  • Boulder City, NV
  • NPI 1558411074

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boulder City Hospital Inc

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1881739613
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1043930894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 MISTYWOOD CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142692",
            "telephone_number": "702-595-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-385-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXRZ",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "858247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jullian Desuzzahn Bowsky
• Box Canyon Surgery Center LLC
• Blake Box
• Jonathan C Box, PHARMD
• Jamaal Boxley
• Boyack & Associates Inc (BAI Services)
• Teairra Boyakins
• Navdeep Boyal, NP
• Gina Boyce
• Stacey Dianne Boyd-Williams

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.