MR. SHANE CLINTON I WILLIAMON (CRNP) – Acute Care Nurse Practitioner, NPI 1881920353

MR. SHANE CLINTON I WILLIAMON (CRNP) is a healthcare provider. based in Anniston, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-078396 (AL). The NPI Number for MR. SHANE CLINTON I WILLIAMON (CRNP) is 1881920353

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHANE CLINTON I WILLIAMON (CRNP)
NPI
1881920353
Phone
(256) 236-8611
Address
P.O. BOX 1890
Enumeration Date
19 October 2009
Last Update Date
19 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562368611
Graduation Year
2009 (17 years ago)
PAC ID
1850518457
Group Practice PAC ID
5193989994
Professional Enrollment ID
I20140805001860
Address ID
AL362074762AN901XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MR. SHANE CLINTON I WILLIAMON (CRNP)

  • P.O. BOX 1890

    ANNISTON, AL 36203

    Phone: (256) 236-8611

    Fax: (256) 236-8636

    Type: Mailing

  • 901, Keith Avenue, Anniston, Calhoun County, Alabama, 36207, United States

    ANNISTON, AL 36202

    Phone: (256) 236-8611

    Fax: (256) 236-8636

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 137 Open Payments records for all available years, with a total value of $2,805.

Total Amount is formed as General ($2,805) + Research ($0) + Ownership ($0) = $2,805.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($893).

Total Amount

$2,805

General + Research + Ownership

Payments

137

Total payment records

General Amount

$2,805

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2014-08-05

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
I20140805001860INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes338319$0
99214Established patient office or other outpatient visit, 30-39 minutes144132$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9440$0
99204New patient office or other outpatient visit, 45-59 minutes7474$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3121$0
View full utilization report →

Insurance plans in this area (ZIP 36203)

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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: 5193989994View full group profile
NameSpecialtyState
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists)AL
Infectious Disease, Internal MedicineAL
-AL

Reviews

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Frequently asked questions

What unique ID ties claims to MR. SHANE CLINTON I WILLIAMON (CRNP)?
NPI 1881920353 is assigned to MR. SHANE CLINTON I WILLIAMON (CRNP) under the national enumeration system.
Does this profile mean MR. SHANE CLINTON I WILLIAMON (CRNP) is currently active?
Yes — MR. SHANE CLINTON I WILLIAMON (CRNP) appears active in the national provider directory.
What does MR. SHANE CLINTON I WILLIAMON (CRNP) treat or focus on?
Patients typically see MR. SHANE CLINTON I WILLIAMON (CRNP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. SHANE CLINTON I WILLIAMON (CRNP)'s primary listing?
We display Anniston, Alabama because that is what the record indicates for MR. SHANE CLINTON I WILLIAMON (CRNP).
How can I contact MR. SHANE CLINTON I WILLIAMON (CRNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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