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Active NPI 1194264689 Individual Practitioner Male Practitioner

Shane A Durham , NP-C

Nurse Practitioner • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Durham, NP-C is a certified Nurse Practitioner practicing in Las Vegas, NV. With approximately 10 years of clinical experience since completing medical education in 2016, Shane Durham delivers high-quality medical care to the local community at 8680 W CHEYENNE AVE.

Shane Durham maintains professional affiliations with Yang Medical Services Pllc, Optum Medical Group Ii Rhodes P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient home visit, residence visit for new patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with straightforward medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8680 W Cheyenne Ave

Las Vegas, NV 891297458

Telephone 7028775199
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Las Vegas, NV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +1.4 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
568 Specialists

Practicing in Las Vegas, NV (919 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Durham (10 Years) 10 Yrs
Las Vegas Specialty Average (8.6 Years) 8.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99344 New patient home visit, typically 1 hour
57 57 $141.87 $115.93

Medical Specialties & State Licenses

CMS Verified: 2026-01-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NV APRN002474

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NV APRN002474

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1194264689 (NV)

Hospital & Practice Group Affiliations

Optum Medical Group Ii Rhodes P C

7061 Grand Montecito Pkwy, Las Vegas, NV 891490287

Phone: 7025793253

Yang Medical Services Pllc

None, Las Vegas, NV 89119

Phone: 8888889930

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003170614

Doctor of Medicine (M.D.)

Dr. Jacki Deguzman , MD

Internal Medicine

NPI 1013206614

Doctor of Medicine (M.D.)

NPI 1023205051

Doctor of Medicine (M.D.)

Dr. Timothy Sugimoto , DO

Internal Medicine

NPI 1033744305

Doctor of Osteopathic Medicine (D.O.)

Royal Bradley , APRN

Nurse Practitioner

NPI 1043769185

Advanced Practice Registered Nurse

Phillip Whittenberg , PA-C

Physician Assistant - Medical

NPI 1053385054

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 26, 2026

Registered at 8680 W CHEYENNE AVE, LAS VEGAS, NV 891297458 (Tel: 7028775199)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2026

Nurse Practitioner (License #APRN002474 in NV)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Nurse Practitioner (License #APRN002474 in NV)

NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2017

Registered at 1000 S RAINBOW BLVD, LAS VEGAS, NV 891456231 (Tel: 7024794881)

📍
Updated Business Mailing Address March 20, 2017

Registered at PO BOX 98978, LAS VEGAS, NV 891938978 (Tel: 7022163346)

👤
Provider Name / Credentials Updated March 20, 2017

Recorded as SHANE DURHAM, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Nurse Practitioner (License #APRN002474 in NV)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2017

Registered at 1000 S RAINBOW BLVD, LAS VEGAS, NV 891456231 (Tel: 7024794881)

📍
Updated Business Mailing Address February 16, 2017

Registered at PO BOX 98978, LAS VEGAS, NV 891938978 (Tel: 7022163346)

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as SHANE DURHAM, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Nurse Practitioner (License #TAPRN701518 in NV)

🟢
Initial NPI Registration & Enumeration February 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194264689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2017
Last Update: January 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 98978

Las Vegas, NV 891938978

Phone: 7022163346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.