Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shala Marie Caudill

Individual provider Nurse Practitioner · NPI 1730930611

Shala Marie Caudill is a Nurse Practitioner in Clovis, New Mexico. Qualified in 2023, 3 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and New Mexico.

Years since qualifying
3
Licensed in
MO, NM
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2421 W 21st St Ste B
Clovis, NM 88101-2006
Phone: (620) 259-0903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 — (913) 754-5092

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2026011637 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 78291 (NM)

Record details

NPI number1730930611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2024
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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