SHANNON MARIE BOELOW
NPI 1225839822
Nurse Practitioner in Reno, NV

Active since March 20, 2025PECOS EnrolledAccepts Medicare Assignment
5590 KIETZKE LN, RENO, NV 89511(775) 323-2080 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Boelow NPPES

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

SHANNON MARIE BOELOW (NPI 1225839822) is an individual nurse practitioner in Reno, Nevada, licensed in Nevada (887854) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225839822
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON MARIE BOELOW
Location Address5590 KIETZKE LNReno, NV 89511-3019
Mailing Address5590 Kietzke LnReno, NV 89511-3019 · (775) 323-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1225839822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NV · 887854
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.
5590 KIETZKE LN, Reno, NV 89511

Accepted 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

Shannon Marie Boelow 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 ID143748533
PECOS Enrollment IDI20250520000199
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89511 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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
5590 KIETZKE LN
RENO, NV 89511
Neurological Surgery
5590 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5590 KIETZKE LN
RENO, NV 89511
Neurological Surgery
5590 KIETZKE LN
RENO, NV 89511
Neurological Surgery
5590 KIETZKE LN
RENO, NV 89511
Physician Assistant
5590 KIETZKE LN
RENO, NV 89511
Anesthesiology (Pain Medicine)
5590 KIETZKE LN
RENO, NV 89511
Neurological Surgery
5590 KIETZKE LN
RENO, NV 89511

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 Shannon Boelow's NPI number?

The NPI number for Shannon Boelow is 1225839822. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Shannon Boelow located?

Shannon Boelow practices at 5590 Kietzke Ln, Reno, NV 89511. The listed phone number is (775) 323-2080.

What is Shannon Boelow's specialty?

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

Is Shannon Boelow enrolled in Medicare?

Yes. Shannon Boelow 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.

What insurance does Shannon Boelow accept?

Health plans from Ambetter from Arizona Complete Health list Shannon Boelow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Boelow affiliated with any hospitals?

According to CMS data, Shannon Boelow is affiliated with Renown Regional Medical Center and Renown South Meadows Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Boelow was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.