MR. JEREMY ALLEN SHULTZ (CRNP) – Acute Care Nurse Practitioner, NPI 1902342983
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for MR. JEREMY ALLEN SHULTZ (CRNP)
DeKalb Regional Medical Center, 200, Medical Center Drive Southwest, Fort Payne, DeKalb County, Alabama, 35968, United States
FORT PAYNE, AL 359683458
Phone: (256) 845-3150
Type: Mailing
PO BOX 11407
BIRMINGHAM, AL 352468124
Phone: (256) 894-6635
Fax: (256) 894-6808
Type: Mailing
2505 US HIGHWAY 431
BOAZ, AL 359575908
Phone: (256) 894-6800
Fax: (256) 894-6808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ABBVIE INC. ($34).
Total Amount
$153
General + Research + Ownership
Payments
8
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $34 |
| Kerecis Limited | $25 |
| Solventum Corporation | $22 |
| PFIZER INC. | $21 |
| W. L. Gore & Associates, Inc. | $19 |
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: 2020-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200126000007 | 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 35968)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | AL |
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