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

Shannon Marie Boelow

Individual provider Nurse Practitioner · NPI 1225839822

Shannon Marie Boelow is a Nurse Practitioner in Reno, Nevada. Qualified in 2024, 2 years ago. Practices with Sierra Neurosurgery Group, a 24-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2025

Practice location Address checks out

5590 Kietzke Ln
Reno, NV 89511-3019
Phone: (775) 323-2080
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 887854 (NV)

Record details

NPI number1225839822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sierra Neurosurgery Group — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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