Shelby Mood, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

863564 Issued in NV

Practice address

500 Damonte Ranch Pkwy Ste 929
Reno, NV 89521-5911

Phone

(775) 841-6123

NPI assigned

Oct 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Eden Hospice at Carson City, LLC

  • Community Based Hospice Care Agency
  • Reno, NV
  • NPI 1487051728
  Medicare reassignment NPD
• A Plus Hospice Care

  • Community Based Hospice Care Agency
  • Reno, NV
  • NPI 1295141901
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1962283804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "VIRGINIA CITY",
            "state": "NV",
            "postal_code": "894400145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY STE 929",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215911",
            "telephone_number": "775-841-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOD",
        "first_name": "SHELBY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "863564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Elyse Montgomery, SLP
• Peggy Lynn Montgomery
• Monti Institute of Neuro Aesthetics
• Natalia Montoya, D.M.D
• Khalid Monzer, MD
• Eric Jackson Moody, MD
• Joshua D Moody, DO
• Michelle E Moody, RD
• Ashley Moon
• Melinda Moon, RD

• Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.