Individual provider Active NPI

Shayne Preyer, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1962048520
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
826577 Issued in NV
Practice address
525 Marks St.
Henderson, NV 89014
Phone
(702) 383-6210
Fax
(702) 435-7050
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61380 NV
Family Nurse Practitioner 363LF0000X 826577 NV Primary

Addresses

Primary practice location

525 Marks St.
Henderson, NV 89014

Mailing address

525 Marks St.
Henderson, NV 89014
Phone (702) 383-6210

Other names 1

  • Shayne Ramos Preyer Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shayne.preyer@dignityhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200210000583 NV Practitioner - Nurse Practitioner 2860828951 Reassigns benefits to 2 organizations
I20240111002265 OK Practitioner - Nurse Practitioner 2860828951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
826577NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Mar 19, 2020 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Mar 19, 2020 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
NR Southwest Okc LLC CurrentSince Dec 4, 2023 Accepting new patients

Locations

270 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 677-3720

270 W Lake Mead Pkwy
Ste 120
Henderson, NV 89015

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

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3908 N Peniel Ave
Ste 450
Bethany, OK 73008

9821 S May Ave
Ste B
Oklahoma City, OK 73159
Phone (405) 631-4263

Interoperability endpoints

  • Direct secure messaging: shane.preyer.1@15442.direct.athenahealth.com

Organizations & group practices 4

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1962048520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MARKS ST.",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-383-6210",
            "fax_number": "702-435-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MARKS ST.",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-383-6210",
            "fax_number": "702-435-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREYER",
        "first_name": "SHAYNE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN61380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "826577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shayne.preyer@dignityhealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "3001 Saint Rose Pkwy",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890523839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAYNE",
            "last_name": "PREYER",
            "middle_name": "RAMOS",
            "credential": "MSN, APRN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.