Zachary S. Shell, APRN

  • Reno, NV
  • Nurse practitioner
NPI1427648070PAC ID7012324064
Medicare services, 2024
508
Medicare patients, 2024
257
Part D claims, 2024
489
MIPS score, 2024
85
Hospital affiliations
5
Practice address
1155 Mill Street, Reno, NV 89502
Practice phone
Call (775) 982-4100
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Renown Regional Medical Center

Hospital · Reno, Nevada

See all 8 affiliations

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Zachary S. Shell is a nurse practitioner in Reno, Nevada

Zachary Shell practices at Renown Regional Medical Center in Reno, Nevada, part of Renown Health.

Zachary Shell's NPI, 1427648070, was assigned on January 19, 2021. Zachary Shell holds Nevada license 836273.

NPI and contact details
Medicare PAC ID
7012324064
NPI enumeration date
January 19, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(775) 982-4100
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
32
Medical school graduation
2020

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Zachary S. Shell practices at Renown Regional Medical Center in Reno, Nevada

Zachary Shell's primary practice is Renown Regional Medical Center, at 1155 Mill Street, Reno, NV 89502 in Washoe County. The practice phone is (775) 982-4100.

Source: Dmand AI Affiliation Data

Zachary S. Shell is affiliated with 5 sites of care and 3 medical groups

Zachary Shell's primary practice is Renown Regional Medical Center in Reno, Nevada, part of Renown Health. Zachary Shell is also affiliated with Renown South Meadows Medical Center. The medical group on file is Renown Health. Dmand AI also links Zachary Shell to 3 more hospitals and 2 medical groups, each named with a free account.

See all 8 affiliations for Zachary Shell

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Zachary S. Shell's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Zachary Shell practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Renown Regional Medical CenterAvailable with a free account
+4 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Zachary S. Shell is one of 655 nurse practitioners in Nevada

Nurse practitioner is Zachary Shell's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Zachary Shell is licensed in Nevada.

Specialties and state licenses

  • Nurse practitioner, NevadaPrimaryLicense RN86006 · taxonomy 363L00000X

Clinical focus

Dmand AI lists acute skin infection, arthritis, bursitis, chronic nasal allergies and joint or bone infection among the conditions Zachary Shell treats.

Nurse practitioners near Zachary Shell

Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Zachary S. Shell billed Medicare for 508 services in 2024

CMS data shows 508 Medicare services from Zachary Shell across 4 procedure codes in 2024, all of them office visits, for 257 Medicare patients. Medicare paid $26,612 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024508
Medicare patients257
Paid by Medicare$26,612
Procedure codes4

Zachary Shell compared with the Nevada median for nurse practitioners, 2024

  • Zachary Shell
  • Nevada median
Medicare services
508vs 56811% below
Medicare patients
257vs 1012.5 times
Part D claims
373vs 373Close to median

Medians across 439 nurse practitioners in Nevada with Dmand AI profiles that report each measure.

Zachary Shell's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Zachary Shell

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Zachary S. Shell treated 257 Medicare patients in 2024, average age 72

CMS counts 257 Medicare patients who saw Zachary Shell in 2024. The largest group is 65 to 74, with 114 patients. 75% of them have high blood pressure, and 74% have high cholesterol. 23% are also on Medicaid. Their average risk score is 2.37, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Zachary Shell's median patient age at 72, with 49% women.

Medicare patients, 2024257
Average age72
Average risk score2.37
Also on Medicaid23%

Zachary Shell's Medicare patients by age, 2024

Zachary Shell's Medicare patients by sex, 2024

  • Women12047%
  • Men13753%

Chronic conditions among Zachary Shell's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol74%
  3. Arthritis69%
  4. Diabetes44%
  5. Mood disorders42%
  6. Chronic kidney disease40%
  7. Depression37%
  8. Ischemic heart disease37%

Share of Medicare patients with each condition. A patient can have several.

Zachary Shell's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women49%
  • Men50%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Zachary S. Shell wrote 489 Medicare Part D claims in 2024

In 2024, Zachary Shell wrote 489 Medicare Part D claims for 185 patients. 98% of them were for generic drugs. CMS names the drug for 373 of them, across 9 drugs with 11 or more claims each, at $15,609 in total drug cost.

Part D claims, 2024489
Drugs named by CMS9
Total drug cost$15,609
Part D patients185

Zachary Shell's Part D claims by kind of drug, 2024

  • Generic479 claims98%
  • Brand-name and other10 claims2%

Zachary Shell's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Zachary Shell's Part D claims, 2024

  • Antibiotics90%439 of 489 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Zachary Shell

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Zachary S. Shell scored 85 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Zachary Shell for performance year 2024, reported as part of a group. Zachary Shell accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Zachary Shell as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Zachary Shell's MIPS scores, performance year 2024

  • 85of 100Final score
  • 79.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 71of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Zachary S. Shell received $427 in industry payments from 2024 to 2025

CMS Open Payments shows 10 general payments to Zachary Shell from 5 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Aimmune Therapeutics, Inc. paid the most, $201.

General payments to Zachary Shell by program year, 2024 to 2025

Companies that paid Zachary Shell the most, 2024 to 2025

Share is of all general payments to this clinician.

See all payments to Zachary Shell

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Zachary S. Shell's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Zachary S. Shell

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Zachary S. Shell's NPI number?

Zachary S. Shell's NPI number is 1427648070. It was assigned on January 19, 2021, and it is active in the NPI Registry.

What does Zachary S. Shell specialize in?

Zachary S. Shell is a nurse practitioner in Reno, Nevada. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).

Where does Zachary S. Shell practice?

Zachary Shell practices at 1155 Mill Street, Reno, NV 89502. Zachary Shell's primary practice is Renown Regional Medical Center in Reno, Nevada, part of Renown Health. Dmand AI also links Zachary Shell to 3 hospitals and 2 medical groups.

What is Zachary S. Shell's office phone number?

The practice phone on file for Zachary Shell is (775) 982-4100.

What is Zachary S. Shell's medical license number?

Zachary Shell holds Nevada license 836273.

Which hospitals is Zachary S. Shell affiliated with?

Zachary Shell practices at Renown Regional Medical Center in Reno, Nevada. Zachary Shell is also affiliated with Renown South Meadows Medical Center. Dmand AI links Zachary Shell to 3 more hospitals.

What medical group is Zachary S. Shell part of?

Zachary Shell is linked to Renown Health. Dmand AI links Zachary Shell to 2 more medical groups.

Does Zachary S. Shell accept Medicare?

Yes. CMS data shows Zachary Shell billed Medicare for 508 services in 2024, and Zachary Shell accepts Medicare assignment.

Does Zachary S. Shell offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Zachary Shell as offering telehealth services.

What is Zachary S. Shell's MIPS score?

Zachary Shell's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.

Show 5 more questionsShow fewer questions

How many Medicare patients does Zachary S. Shell see?

CMS counts 257 Medicare patients who saw Zachary Shell in 2024, with an average age of 72.

What services does Zachary S. Shell bill to Medicare?

In 2024, Zachary Shell's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and office visit, established patient (99212).

What drugs does Zachary S. Shell prescribe most?

In 2024 Medicare Part D data, Zachary Shell's most prescribed drugs by claims were Amoxicillin-Clavulanate Potass, Doxycycline Hyclate and Minocycline HCl.

Has Zachary S. Shell received payments from drug or device companies?

CMS Open Payments shows $427 in general payments to Zachary Shell from 5 companies from 2024 to 2025. The largest total came from Aimmune Therapeutics, Inc.

How long has Zachary S. Shell been practicing?

Zachary Shell graduated from medical school in 2020, 6 years ago.

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