MRS. SHAWNNA WELLS (ACNP) – Acute Care Nurse Practitioner, NPI 1174949010
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SHAWNNA WELLS (ACNP)
PO BOX 1276
FAIRHOPE, AL 365331276
Phone: (251) 990-1922
Fax: (251) 990-1912
Type: Mailing
750 MORPHY AVE
FAIRHOPE, AL 365321812
Phone: (251) 990-1922
Fax: (251) 990-1912
Type: Location
2101 HIGHWAY 90
GAUTIER, MS 395535340
Phone: (228) 497-7576
Fax: (228) 497-8869
Type: Mailing
2809 DENNY AVE
PASCAGOULA, MS 395815301
Phone: (228) 809-5510
Fax: (228) 809-5519
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140423000327 | I | Nurse Practitioner | MS | TBD |
| I20150513001571 | I | Nurse Practitioner | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| - | AL | |
| Geriatric Medicine, Internal Medicine | LA | |
| Internal Medicine | AL | |
| Physician Assistant | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Family Practice | MS |
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