SHADETTE OLJOL SORIANO (PMHNP, MSN-BC) – Licensed Vocational Nurse, NPI 1467712752
Licensed Vocational Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for SHADETTE OLJOL SORIANO (PMHNP, MSN-BC)
3539 College Ave
San Diego, CA 921157032
Phone: (619) 818-3788
Type: Location
8580 NEW SALEM ST UNIT 27
SAN DIEGO, CA 921262346
Phone: (858) 414-8970
Type: Mailing
655 PARK CENTER DR
SANTEE, CA 920716957
Phone: (619) 596-5500
Type: Location
11526 VIA SANTA BRISA
SAN DIEGO, CA 921314259
Phone: (858) 414-8970
Type: Mailing
7850 VISTA HILL AVE
SAN DIEGO, CA 921232717
Phone: (858) 836-8360
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 $380.
Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($244).
Total Amount
$380
General + Research + Ownership
Payments
4
Total payment records
General Amount
$380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $244 |
| Alkermes, Inc. | $137 |
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: 2024-07-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240715000970 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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