SHANNON R MICHELSON M.D.
NPI 1265694822
Pediatrics in Las Vegas, NV

Q: What is Shannon Michelson's NPI number?

The NPI number for Shannon Michelson is 1265694822. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Shannon Michelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Michelson was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2008PECOS Enrolled

1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 383-1958(702) 383-8235 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shannon R Michelson M.d. NPPES

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

SHANNON R MICHELSON M.D. (NPI 1265694822) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (13972) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1265694822

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHANNON R MICHELSONCredential: M.D.

Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2386

Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2386 · (702) 383-2620

Phone(702) 383-1958

Fax(702) 383-8235

Sole ProprietorNo

Enumeration DateJune 25, 2008

Last NPPES UpdateDecember 11, 2024

NPPES CertifiedDecember 11, 2024

✔ NPI 1265694822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NV · 13972

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 110581 Double R BlvdReno, NV 89521 · Phone (775) 324-0766 · Fax (775) 324-0788

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon R Michelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89102 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.

MICHAEL M LEE MD

Internal Medicine