Individual provider Active NPI

Laura J Sheeley, APN

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1669483327
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN000663 Issued in NV
Practice address
50 Kirman Ave
Reno, NV 89502-1175
Phone
(775) 322-5050
Fax
(775) 322-6191
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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 APN000663 NV Primary

Addresses

Primary practice location

50 Kirman Ave
Reno, NV 89502-1175

Mailing address

5250 Neil Rd
#207
Reno, NV 89502-6542
Phone (775) 398-1981

Other identifiers 1

IdentifierTypeStateIssuer
002416107MedicaidNV

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
I20090108000534 NV Practitioner - Nurse Practitioner 1951464502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Medical Alliance LLCGroup PAC ID 3072041714, 3 clinicians

Practice addresses (Care Compare)

3690 Grant Dr
Unit L2
Reno, NV 89509-5476
Phone (775) 277-3747

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Sierra Nevada Home Health Home health agency, Reno, NV, CCN 297305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000663NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group Hicks PC CurrentSince Apr 15, 2024 Accepting new patients
Paragon Medical Alliance LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

699 Sierra Rose Dr
Reno, NV 89511
Phone (775) 299-4649

6275 Sharlands Ave
Ste B15
Reno, NV 89523

3690 Grant Dr
Unit L2
Reno, NV 89509
Phone (775) 277-3747

5975 S Los Altos Pkwy
Sparks, NV 89436

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 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1669483327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 NEIL RD",
            "address_2": "#207",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026542",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984"
        },
        {
            "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": "LAURA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APN000663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002416107",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.