Active NPI
Sheila Marie Farrales Evaristo, APRN
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 843652
- Practice address
- 1720 Cypress Manor Dr
Henderson, NV 89012-7226 - Phone
- (702) 568-9033
- NPI assigned
- Sep 11, 2021
- Last updated
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 843652 | NV | MD | Family Nurse Practitioner |
| F07210459 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calaguas LTD | Current | Accepting new patients |
Locations
3000 W Charleston Blvd
Ste 1
Las Vegas, NV 89102
Phone (702) 870-1114
3000 W Charleston Blvd
Ste 3
Las Vegas, NV 89102
3000 W Charleston Blvd
Ste 5
Las Vegas, NV 89102
Phone (702) 623-7205
Interoperability endpoints
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.