JIM SHAMBLIN ROSELL (PA-C) – Medical Physician Assistant, NPI 1508256751
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for JIM SHAMBLIN ROSELL (PA-C)
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 922703221
Phone: (760) 568-2684
Fax: (760) 341-5832
Type: Mailing
39000 BOB HOPE DR
HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 922703221
Phone: (760) 568-2684
Fax: (760) 341-5832
Type: Mailing
45280 Seeley Dr., FL 2
La Quinta, CA 922536834
Phone: (760) 568-2684
Fax: (760) 341-5832
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Bioventus LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $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: 2015-03-25
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 |
|---|---|---|---|---|
| I20150325002311 | I | Physician Assistant | 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 | 822 | 581 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 660 | 480 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 522 | 397 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 335 | 299 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 128 | 122 | $0 |
Insurance plans in this area (ZIP 92270)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Pain Management, Physical Medicine And Rehabilitation | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA |
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