Individual provider Active NPI

Sheila Marie Farrales Evaristo, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1841969979
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
843652 Issued in NV
Practice address
1720 Cypress Manor Dr
Henderson, NV 89012-7226
Phone
(702) 568-9033
NPI assigned
Sep 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07210459 NV
Family Nurse Practitioner 363LF0000X 843652 NV Primary

Addresses

Primary practice location

1720 Cypress Manor Dr
Henderson, NV 89012-7226

Mailing address

1720 Cypress Manor Dr
Henderson, NV 89012-7226
Phone (702) 568-9033

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
I20230926000575 NV Practitioner - Nurse Practitioner 3274987201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calaguas LTDGroup PAC ID 4587795091, 5 clinicians

Practice addresses (Care Compare)

3000 W Charleston Blvd
Suite 5
Las Vegas, NV 89102-1940
Phone (702) 877-9511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07210459NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calaguas LTD CurrentSince Jul 10, 2023 Accepting new patients

Locations

3000 W Charleston Blvd
Ste 3
Las Vegas, NV 89102

3000 W Charleston Blvd
Ste 1
Las Vegas, NV 89102
Phone (702) 870-1114

3000 W Charleston Blvd
Ste 5
Las Vegas, NV 89102
Phone (702) 623-7205

Interoperability endpoints

  • Direct secure messaging: sheilamariefarrales.evaristo@cmgrp.eclinicaldirectplus.com

Organizations & group practices 1

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": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1841969979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CYPRESS MANOR DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127226",
            "telephone_number": "702-568-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CYPRESS MANOR DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127226",
            "telephone_number": "702-568-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVARISTO",
        "first_name": "SHEILA MARIE",
        "middle_name": "FARRALES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F07210459",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "843652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.