SHAILAH BEVAN PMHNP
NPI 1063195568
Nurse Practitioner - Psychiatric/Mental Health in Farmington, NM

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
1001 W BROADWAY STE D&E, FARMINGTON, NM 87401(505) 327-4796(505) 443-8335 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Aug 10, 2023 (2 updates tracked since 2023).

About Shailah Bevan Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAILAH BEVAN PMHNP (NPI 1063195568) is an individual psychiatric/mental health provider in Farmington, New Mexico, licensed in New Mexico (74569) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063195568
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAILAH BEVANCredential: PMHNP
Location Address1001 W BROADWAY STE D&EFarmington, NM 87401-5638
Mailing Address1001 W Broadway Ste D&eFarmington, NM 87401-5638 · (505) 327-4796 · Fax (505) 443-8335
Fax(505) 443-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 10, 2023
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1063195568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · 74569
1001 W BROADWAY STE D&E, Farmington, NM 87401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shailah Bevan Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082144563
PECOS Enrollment IDI20250213000806
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Family Medicine
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Clinic/Center (Federally Qualified Health Center (FQHC))
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Counselor (Professional)
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Behavior Analyst
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Family Medicine
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401
Nurse Practitioner (Family)
1001 W BROADWAY STE D&E
FARMINGTON, NM 87401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shailah Bevan's NPI number?

The NPI number for Shailah Bevan is 1063195568. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Shailah Bevan located?

Shailah Bevan practices at 1001 W Broadway Ste D&e, Farmington, NM 87401. The listed phone number is (505) 327-4796.

What is Shailah Bevan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shailah Bevan enrolled in Medicare?

Yes. Shailah Bevan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shailah Bevan was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.