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Deactivated NPI 1982827481 Deactivated / Inactive NPI Female Practitioner

Shirley Neely Mcculloch , APN

Nurse Practitioner • Reno, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shirley Neely Mcculloch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date October 02, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Shirley Neely Mcculloch, APN was a registered Nurse Practitioner practicing in Reno, NV. Throughout an active medical career spanning 18 years, Shirley Neely Mcculloch provided care at the practice location at 1055 S WELLS AVE until profile deactivation on 2025-10-02.

Historical Medicare Part B clinical services included residence visit for established patient with high level of medical decision making, per day, if using time, at least, established patient assisted living visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1055 S Wells Ave
Suite 120

Reno, NV 895022586

Telephone 7753362169
Fax 7753483896
Associated Practice Facility / Clinic
🏢 Community Health Alliance Facility NPI 1326162710

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Reno, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
133 Specialists

Practicing in Reno, NV (919 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
23 22 $410.67 $156.90
99337 Established patient assisted living visit, typically 60 minutes
14 13 $450.58 $170.03

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NV APN000788

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joshua Wood , MD

Family Medicine

NPI 1033571617

Doctor of Medicine (M.D.)

James Lee , PA-C

Physician Assistant - Medical

NPI 1043844251

Physician Assistant (Certified)

Mikayla Semenko

Physician Assistant

NPI 1053071100
Jordan Williams , PA

Physician Assistant

NPI 1063988343

Physician Assistant

NPI 1073860276

Doctor of Dental Surgery

Nicolette Perrin , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083347496

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

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Updated Practice Location May 07, 2023

Registered at NORTH COUNTY SERENITY HOUSE 1341 N. ESCONDIDO BLVD, ESCONDITO, CA 920265218 (Tel: 8443085003)

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Updated Business Mailing Address May 07, 2023

Registered at NORTH COUNTY SERENITY HOUSE 1341 N. ESCONDIDO BLVD, ESCONDIDO, CA 92026 (Tel: 9095497628)

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Updated Practice Location March 14, 2019

Registered at 1000 VALE TERRACE DR, VISTA, CA 920845218 (Tel: 8443085003)

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Updated Business Mailing Address March 14, 2019

Registered at 1000 VALE TERRACE DR, VISTA, CA 920845218 (Tel: 7606315000)

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Provider Name / Credentials Updated March 14, 2019

Recorded as SHIRLEY MCCULLOCH, APN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Midwife (License #1237 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1055 S WELLS AVE, SUITE 120, RENO, NV 895022586 (Tel: 7753362169)

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Updated Business Mailing Address July 08, 2007

Registered at 1055 S WELLS AVE, SUITE 120, RENO, NV 895022586 (Tel: 7753362169)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SHIRLEY NEELY MCCULLOCH, APN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #APN000788 in NV)

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Initial NPI Registration & Enumeration April 11, 2007

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: 1982827481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Deactivation Date: October 02, 2025

Mailing Address

1055 S Wells Ave, Suite 120

Reno, NV 895022586

Phone: 7753362169

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.