Individual provider Active NPI

Shelley A Wilcox, APN

  • Family Nurse Practitioner
  • Minden, NV
National Provider Identifier
1255603205
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001363 Issued in NV
Practice address
1701 County Rd Ste H
Minden, NV 89423-4465
Phone
(775) 782-3933
Fax
(775) 782-1127
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001363 NV Primary

Addresses

Primary practice location

1701 County Rd Ste H
Minden, NV 89423-4465

Mailing address

1701 County Rd Ste H
Minden, NV 89423-4465
Phone (775) 782-3933

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120501000724 NV Practitioner - Nurse Practitioner 7315109733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountainview Medical AssociatesGroup PAC ID 2961674775, 4 clinicians

Practice addresses (Care Compare)

1701 County Rd H
Minden, NV 89423-4465
Phone (775) 782-3933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001363NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Medical Group Professional Corporation CurrentSince May 15, 2020 Accepting new patients

Locations

1200 Mountain St
Ste 230
Carson City, NV 89703
Phone (775) 882-1324

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1255603205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COUNTY RD STE H",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234465",
            "telephone_number": "775-782-3933",
            "fax_number": "775-782-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COUNTY RD STE H",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234465",
            "telephone_number": "775-782-3933",
            "fax_number": "775-782-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.