MRS. SHELLEY GUARNERA APRN
NPI 1174254411
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV
About Mrs. Shelley Guarnera Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHELLEY GUARNERA APRN (NPI 1174254411) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (854036) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Shelley Guarnera Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Shelley Guarnera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shelley Guarnera's NPI number?
The NPI number for Shelley Guarnera is 1174254411. It was assigned to this individual provider in the NPPES registry on June 17, 2022.
Where is Shelley Guarnera located?
Shelley Guarnera practices at 8430 W Lake Mead Blvd Ste 105, Las Vegas, NV 89128. The listed phone number is (702) 241-8599.
What is Shelley Guarnera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shelley Guarnera enrolled in Medicare?
Yes. Shelley Guarnera 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.
Which organization bills Medicare for Shelley Guarnera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Guarnera reassigns Medicare benefits to Changing Minds Psychiatry LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelley Guarnera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelley Guarnera was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Mrs. Shelley Guarnera, APRN · NPI 1174254411
Psychiatric/Mental Health physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 17, 2022.
## Identity
- **NPI:** 1174254411 (Entity type: Individual)
- **Enumerated:** June 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 854036 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8430 W LAKE MEAD BLVD STE 105, Las Vegas, NV 89128-7672
- **Phone:** (702) 241-8599
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Changing Minds Psychiatry LLC (NPI 1821537242, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174254411) · Data from the CMS NPPES public registry.