Shelley Guarnera, APRN
NPI 1174254411ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Las Vegas, NV
Nurse Practitioner, Psych/Mental Health (APRN) with Changing Minds Psychiatry LLC, practicing in Las Vegas, Nevada. Their prescriptions cost Medicare Part D more than their services did: $80,918 for 835 claims, against $6,725 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 12 companies reporting payments in 2025, $733.31 in all, mostly food and beverage.
Overview
| NPI | 1174254411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2022 |
| Last updated in NPPES | Oct 3, 2026 |
| Certified by provider | Oct 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 854036 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 111 across 5 procedure codes |
| Paid by Medicare | $6,725 |
Part D prescriptions in 2024
| Prescriptions (claims) | 835 · 1,041 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $80,918 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Changing Minds Psychiatry LLCNorth Las Vegas, NV · 50 clinicians
Industry payments (Open Payments)
- 2025$733.31 · 32 payments from 12 companies
- 2024$182.32 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $214.28 | 9 |
| Indivior Inc. | $86.54 | 3 |
| Alkermes, Inc. | $74.30 | 3 |
| E.R. Squibb & Sons, L.L.C. | $74.13 | 3 |
| Abbvie Inc. | $62.01 | 4 |
What the 2025 payments were for
- Food and Beverage$733.31 · 32 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 513 psychiatric nurse practitioners in Las Vegas · All psychiatric nurse practitioners in Nevada