SHELBY PAULINE MCDONALD (DNP, FNP-C) – Family Nurse Practitioner, NPI 1477034981
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for SHELBY PAULINE MCDONALD (DNP, FNP-C)
1111 N Washington St
Forrest City, AR 723352150
Phone: (901) 390-2930
Type: Location
1750 Madison Ave Ste 301
Memphis, TN 381046428
Phone: (901) 390-2930
Type: Location
705 N State St
Clarksdale, MS 386146519
Phone: (901) 390-2930
Type: Location
1300 Sunset Dr Ste P
Grenada, MS 389014084
Phone: (901) 390-2930
Type: Location
1750 Madison Ave Ste 302
Memphis, TN 381046428
Phone: (901) 390-2930
Type: Location
176 Goodman Rd W
Southaven, MS 386719405
Phone: (901) 390-2930
Type: Location
403 Getwell Dr
Senatobia, MS 386682213
Phone: (901) 390-2930
Type: Location
2704 W Oxford Loop Ste 110
Oxford, MS 386555728
Phone: (901) 390-2930
Type: Location
8081 US Highway 51 N
Millington, TN 380531730
Phone: (901) 390-2930
Type: Location
1355 W Brierbrook Rd
Germantown, TN 381382208
Phone: (901) 390-2930
Type: Location
6029 Walnut Grove Rd Ste 401
Memphis, TN 381202112
Phone: (901) 747-3066
Type: Location
1375 W BRIERBROOK RD
GERMANTOWN, TN 381382208
Phone: (901) 390-2930
Type: Mailing
5279, Spruce View Way, Lakeland, Shelby County, Tennessee, 38002, United States
LAKELAND, TN 380024875
Phone: (901) 606-1847
Type: Mailing
312 S Rhodes St
West Memphis, AR 723014215
Phone: (901) 390-2930
Type: Location
306 S Rhodes St
West Memphis, AR 723014215
Phone: (901) 390-2930
Type: Location
405 River Rd
Greenwood, MS 389304212
Phone: (901) 390-2930
Type: Location
1385, West Brierbrook Road, Germantown, Shelby County, Tennessee, 38138, United States
GERMANTOWN, TN 381382208
Phone: (901) 390-2930
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Boston Scientific Corporation ($44).
Total Amount
$94
General + Research + Ownership
Payments
4
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $44 |
| ABBVIE INC. | $29 |
| Silk Road Medical, Inc. | $20 |
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: 2021-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20181018000439 | I | Nurse Practitioner | TN | TBD |
| I20210520000242 | I | Nurse Practitioner | MS | TBD |
| I20210520001725 | I | Nurse Practitioner | AR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 102 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 84 | 84 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 60 | 55 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 30 | $0 |
Insurance plans in this area (ZIP 72335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | MI | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Vascular Surgery | AR | |
| - | TN | |
| Vascular Surgery, General Surgery | TN | |
| - | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN |
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