Individual provider Active NPI

Shawn Michael Melley, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1790452597
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
845922 Issued in NV
Practice address
650 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0425
Phone
(702) 781-4800
Fax
(702) 664-6755
NPI assigned
Aug 27, 2021
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 845922 NV Primary

Addresses

Primary practice location

650 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0425

Mailing address

3459 Saint Rose Pkwy Ste 120-481
Henderson, NV 89052-4601
Phone (702) 781-4800

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
I20211102002380 NV Practitioner - Nurse Practitioner 1456749621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1669 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-3516
Phone (702) 781-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
845922NVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv P Amesur DO PC CurrentSince Jul 1, 2021 Accepting new patients
Las Vegas Intensive and Pulmonary Specialists Amesuranddelmundo PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1669 W Horizon Ridge Pkwy
Henderson, NV 89012

1669 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 386-1041

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3459 Saint Rose Pkwy
#120481
Henderson, NV 89052

3459 Saint Rose Pkwy
Ste 120481
Henderson, NV 89052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1790452597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT ROSE PKWY STE 120-481",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524601",
            "telephone_number": "702-781-4800",
            "fax_number": "702-664-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S GREEN VALLEY PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520425",
            "telephone_number": "702-781-4800",
            "fax_number": "702-664-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEY",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "845922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.