SHELBY E REAL PAC
NPI 1720557374
Physician Assistant in Carson City, NV

Q: What is Shelby Real's NPI number?

The NPI number for Shelby Real is 1720557374. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Shelby Real's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Real was last updated on July 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

973 MICA DRIVE, SUITE 201, CARSON CITY, NV 89705(775) 783-6190 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2021, Nov 13, 2018 (2 updates tracked since 2018).

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About Shelby E Real Pac NPPES

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

SHELBY E REAL PAC (NPI 1720557374) is an individual physician assistant in Carson City, Nevada, licensed in Nevada (PA2041) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Carson Valley Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720557374

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY E REALCredential: PAC

Location Address973 MICA DRIVE, SUITE 201Carson City, NV 89705-7258

Mailing Address973 Mica Dr Ste 201Carson City, NV 89705-7258 · (775) 783-6190

Phone(775) 783-6190

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 13, 2018

Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1720557374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NV · PA2041

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

973 MICA DRIVE, Carson City, NV 89705

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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

Shelby E Real Pac 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 ID9739425240

PECOS Enrollment IDI20190103002343

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

915 services309 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

392 services271 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

390 services271 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services64 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291306

Location1107 Highway 395Gardnerville, NV 89410 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89705 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

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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.

91.59/100

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

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%372 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%206 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

46%145 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

0%656 patients1/55-star benchmark: 88%

Diabetes: Eye Exam

0%32 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%32 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,639 patients4/55-star benchmark: 100%

e-Prescribing

100%886 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%587 patients1/55-star benchmark: 100%

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

98%963 patients5/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%949 patients1/55-star benchmark: 97%

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

0%3,614 patients1/55-star benchmark: 61%

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

Patients combinedPopulations: 92% · 908 patients

Patients screened: 93% · 908 patients

93%169 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%842 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%36 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 610 patients

Patients totalRate: 15% · 618 patients

14%618 patients3/55-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.

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Other Providers at the Same Location NPPES 14

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

JEROMY DYER

Physician Assistant