SHELLIE DEAN GRAVES (NP) – Occupational Health Nurse Practitioner, NPI 1043869738
Occupational Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for SHELLIE DEAN GRAVES (NP)
15, Albergar, San Clemente, Orange County, California, 92672, United States
SAN CLEMENTE, CA 926729403
Phone: (714) 599-2196
Type: Mailing
5000 Pacific Coast Hwy
San Clemente, CA 92674
Phone: (949) 531-0963
Type: Location
23181 Verdugo Dr Ste 103A
Laguna Hills, CA 926531313
Phone: (800) 964-7710
Type: Location
5000 PACIFIC COAST HWY
SAN CLEMENTE, CA 926721313
Phone: (949) 531-0963
Type: Mailing
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
520 S EAGLE RD STE 2213
MERIDIAN, ID 836426354
Phone: (208) 706-5447
Fax: (208) 706-5448
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: 2025-07-21
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 |
|---|---|---|---|---|
| I20250721003621 | I | Nurse Practitioner | ID | 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 92672)
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