MRS. SHELLEY R HASSELMAN (NP) – Primary Care Nurse Practitioner, NPI 1003126129
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MRS. SHELLEY R HASSELMAN (NP)
PO BOX 2482
RUNNING SPRINGS, CA 923822482
Phone: (909) 867-2814
Fax: (909) 337-5353
Type: Mailing
29099 HOSPITAL ROAD
SUITE 204B
LAKE ARROWHEAD, CA 92352
Phone: (909) 337-7771
Fax: (909) 337-5353
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: PFIZER INC. ($45).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $45 |
| Lilly USA, LLC | $32 |
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: 2018-12-12
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 |
|---|---|---|---|---|
| I20181212003116 | I | Nurse Practitioner | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 26 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 26 | 22 | $0 |
| 81002 | Urinalysis, manual test | 25 | 22 | $0 |
Insurance plans in this area (ZIP 92382)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA |
Reviews
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