SHANE A DURHAM NP-C
NPI 1194264689
Nurse Practitioner in Las Vegas, NV

Q: What is Shane Durham's NPI number?

The NPI number for Shane Durham is 1194264689. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Q: What is Shane Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Durham was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 16, 2017PECOS EnrolledAccepts Medicare Assignment

57.88/100

CMS Quality Rating

8680 W CHEYENNE AVE, LAS VEGAS, NV 89129(702) 877-5199 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Jan 3, 2020, Mar 20, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Shane A Durham Np-c NPPES

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

SHANE A DURHAM NP-C (NPI 1194264689) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APRN002474) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194264689

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSHANE A DURHAMCredential: NP-C

Location Address8680 W CHEYENNE AVELas Vegas, NV 89129-7458

Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 877-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 16, 2017

Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1194264689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · APRN002474

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN002474 (NV)

8680 W CHEYENNE AVE, Las Vegas, NV 89129

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Other Identifiers 1

Medicaid1194264689NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Shane A Durham Np-c 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 ID2365727047

PECOS Enrollment IDI20170320001605

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.

Areas of Expertise CMS Part B claims

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.

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89129 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.49

Improvement Activities

Cost

18.91

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

3%31 patients1/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

94%994 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%347 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

30%991 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 17% · 335 patients

15%335 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 510 patients

Patients totalRate: 1% · 510 patients

1%510 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

CAROL ANN KRISAN M OMANDAC FNP-C

Nurse Practitioner (Family)