Individual provider Active NPI

Charles A Sheeley II, MSN, APN

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1225048184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN000662 Issued in NV
Practice address
50 Kirman Ave
Reno, NV 89502-1175
Phone
(775) 322-5050
Fax
(775) 322-6191
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN000662 NV Primary

Addresses

Primary practice location

50 Kirman Ave
Reno, NV 89502-1175

Mailing address

10405 Chadwell Dr
Reno, NV 89521-4206
Phone (775) 852-5769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Picetti LTD Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Bruce E Mullen a Professional Corporation PastSince Apr 1, 1999 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225048184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 CHADWELL DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214206",
            "telephone_number": "775-852-5769",
            "fax_number": "775-322-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KIRMAN AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021175",
            "telephone_number": "775-322-5050",
            "fax_number": "775-322-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELEY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSN, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APN000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.