SHANNON HILLEY (NP) – Nurse Practitioner, NPI 1013411065

SHANNON HILLEY (NP) is a healthcare provider. based in Fort payne, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-092758 (AL). The NPI Number for SHANNON HILLEY (NP) is 1013411065

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON HILLEY (NP)
NPI
1013411065
Phone
(256) 997-2855
Address
200 MEDICAL CENTER DR SW
Enumeration Date
22 March 2018
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2569791550
Graduation Year
2017 (9 years ago)
PAC ID
7113275918
Group Practice PAC ID
5991244378
Professional Enrollment ID
I20180810001817
Address ID
AL359683353FO1411XSWXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for SHANNON HILLEY (NP)

  • DeKalb Regional Medical Center, 200, Medical Center Drive Southwest, Fort Payne, DeKalb County, Alabama, 35968, United States

    FORT PAYNE, AL 359683458

    Phone: (256) 997-2855

    Fax: (256) 997-2512

    Type: Mailing

  • 2605 GAULT AVE N STE 200

    FORT PAYNE, AL 359673700

    Phone: (256) 979-1550

    Fax: (256) 979-1576

    Type: Mailing

  • 200, Gault Avenue North, Fort Payne, DeKalb County, Alabama, 35967, United States

    FORT PAYNE, AL 359673700

    Phone: (256) 997-2855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Globus Medical, Inc. ($38).

Total Amount

$115

General + Research + Ownership

Payments

5

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180810001817INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,50013$0
J1100Injection, dexamethasone sodium phosphate, 1 mg824127$0
99213Established patient office or other outpatient visit, 20-29 minutes430252$0
J1885Injection, ketorolac tromethamine, per 15 mg341152$0
20610Aspiration and/or injection of fluid from large joint268136$0
View full utilization report →

Insurance plans in this area (ZIP 35968)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991244378View full group profile
NameSpecialtyState
Nurse PractitionerAL
Otolaryngology, Allergy/ImmunologyAL
Qualified AudiologistAL
Nurse PractitionerAL
Nurse PractitionerAL
Orthopedic SurgeryNC
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)AL

Reviews

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Frequently asked questions

Where can patients find SHANNON HILLEY (NP)'s NPI?
You can confirm SHANNON HILLEY (NP) with NPI 1013411065; it appears in the national provider directory.
Is SHANNON HILLEY (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHANNON HILLEY (NP)?
The page reflects Nurse Practitioner for SHANNON HILLEY (NP). Clinical services aligned with this taxonomy classification.
What location shows for SHANNON HILLEY (NP)?
We surface Fort Payne, Alabama for SHANNON HILLEY (NP) based on available NPPES addresses.
What if Fort Payne, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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