Zachary S. Shell, APRN
NPI 1427648070ActiveIndividual· Nurse Practitioner· Reno, NV
Nurse Practitioner (APRN) with Community Care Services LLC, practicing in Reno, Nevada. Their prescriptions cost Medicare Part D more than their services did: $59,678 for 489 claims, against $30,192 paid for services in 2024. Gilead Sciences, Inc. was the largest of 4 companies reporting payments in 2025, $244.79 in all, mostly food and beverage. Lists Banner Churchill Community Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1427648070 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jan 19, 2021 |
| Last updated in NPPES | Nov 7, 2023 |
| Certified by provider | Nov 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 836273 | NV |
| Registered Nurse | 163W00000X | RN86006 | 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 | 257 |
|---|---|
| Services billed | 564 across 16 procedure codes |
| Paid by Medicare | $30,192 |
Part D prescriptions in 2024
| Prescriptions (claims) | 489 · 738 30-day fills |
|---|---|
| Patients | 185 |
| Total drug cost | $59,678 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Community Care Services LLCReno, NV · 641 clinicians
Hospital affiliations
- Banner Churchill Community HospitalFallon, NV
- Carson Tahoe Regional Medical CenterCarson City, NV
- Carson Valley HealthGardnerville, NV
- Renown Regional Medical CenterReno, NV
- Renown South Meadows Medical CenterReno, NV
Industry payments (Open Payments)
- 2025$244.79 · 6 payments from 4 companies
- 2024$182.69 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $131.68 | 2 |
| Aimmune Therapeutics, Inc. | $51.08 | 2 |
| Solventum Corporation | $32.51 | 1 |
| Convatec Inc. | $29.52 | 1 |
What the 2025 payments were for
- Food and Beverage$244.79 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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