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

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Michelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Center Of Southern Nevada
Same address
General Acute Care Hospital
1800 W. CHARLESTON BLVD.
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 522 clinicians in this Medicare group
NPI 1548393127 (702) 383-2000
Pokroy Medical Group Of Nevada, Ltd.
8.5 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 921-6823
DR. ALAN MICHAEL ZETO JR. MD
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 207-8263
DR. ADAM MCLEAN MURRAY MD
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 671-2385
YOUNG SUK SONG M.D.
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2000
EMERGENCY MEDICINE PHYSICIANS OF CLARK PEDIATRICS MCCOURT, PLLC
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2085
LORI NICOLE WATSON RD
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (405) 863-7068
GABRIELA AGUIRRE RD
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-0000
GIAN FULE CRNA
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2000

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 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.

Where is Shannon Michelson located?

Shannon Michelson practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 383-1958.

What is Shannon Michelson's specialty?

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

Is Shannon Michelson enrolled in Medicare?

Yes. Shannon Michelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Michelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Michelson reassigns Medicare benefits to 2 organizations: University Medical Center Of Southern Nevada (Las Vegas, NV) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). Each 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 Shannon Michelson'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 Shannon Michelson was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.