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Active NPI 1730930611 Individual Practitioner Female Practitioner

Shala Marie Caudill

Nurse Practitioner • Clovis, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shala Caudill is a certified Nurse Practitioner practicing in Clovis, NM. With approximately 3 years of clinical experience since completing medical education in 2023, Shala Caudill delivers high-quality medical care to the local community at 2421 W 21ST ST STE B.

Shala Caudill is affiliated with Presbyterian Healthcare Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2421 W 21st St Ste B

Clovis, NM 881012006

Telephone 6202590903
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clovis, NM

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -3.2 yrs vs City Avg
City Avg: 6.2 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Clovis, NM (577 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caudill (3 Years) 3 Yrs
Clovis Specialty Average (6.2 Years) 6.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
146 47 $6.00 $1.62
99213 Established patient office or other outpatient visit, typically 15 minutes
74 61 $73.00 $53.63
17000 Destruction of skin growth
67 59 $65.13 $41.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
60 60 $106.00 $67.09
11102 Tangential biopsy of single skin lesion
51 48 $111.98 $23.36
17110 Destruction of up to 14 skin growths
26 17 $91.00 $54.68
11103 Biopsy of related skin growth, each additional growth
14 13 $48.00 $17.70
99451 Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes
11 11 $75.00 $28.46

Medical Specialties & State Licenses

CMS Verified: 2026-04-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2026011637

(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

NUCC Taxonomy Code: 363L00000X

State License NM 78291

(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.

Hospital & Practice Group Affiliations

Presbyterian Healthcare Services

2421 W 21st St, Clovis, NM 881012006

Phone: 5757697577

Secondary Practice Locations

3265 Ne Ralph Powell Rd

Lees Summit, MO 640642301

Phone: 9137545092

Practice Associates & Co-Workers

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

10 Associated Practitioners
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Psychologist - Clinical

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Doctor of Psychology (Psy.D.)

Beba Perez-Rodriguez , PSY

Psychologist - Clinical

NPI 1083290480
Dr. Ayyappa Mysore Rangaraju , MD

Internal Medicine - Gastroenterology

NPI 1093059925

Doctor of Medicine (M.D.)

Chelsey Jorde , CNP

Nurse Practitioner

NPI 1194440123

Certified Nurse Practitioner

Dr. Yilma Kebelo , MD, DPM

Podiatrist - Foot & Ankle Surgery

NPI 1306334644

Doctor of Medicine (M.D.), Doctor of Podiatric Medicine

Vanessa Millender

Registered Nurse - Ambulatory Care

NPI 1356295000

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

Nurse Practitioner (License #2026011637 in MO)

NPI Profile Active March 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2024

Registered at 2421 W 21ST ST STE B, CLOVIS, NM 881012006 (Tel: 6202590903)

📍
Updated Business Mailing Address March 29, 2024

Registered at 2421 W 21ST ST STE B, CLOVIS, NM 881012006 (Tel: 6202590903)

👤
Provider Name / Credentials Updated March 29, 2024

Recorded as SHALA CAUDILL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Nurse Practitioner (License #78291 in NM)

🟢
Initial NPI Registration & Enumeration March 29, 2024

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: 1730930611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2024
Last Update: April 10, 2026
Sole Proprietor: Yes

Mailing Address

2421 W 21st St Ste B

Clovis, NM 881012006

Phone: 6202590903

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.