SHARON LYNN BRODBELT (PA-C) – Physician Assistant, NPI 1821393166
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHARON LYNN BRODBELT (PA-C)
1111 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 961506207
Phone: (530) 543-5659
Fax: (530) 541-8723
Type: Mailing
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 961507025
Phone: (530) 543-5623
Fax: (530) 541-5738
Type: Location
PO BOX 340
NATURITA, CO 814220340
Phone: (970) 865-2665
Fax: (970) 865-2674
Type: Mailing
421 ADAMS ST
NATURITA, CO 814225018
Phone: (970) 865-2665
Fax: (970) 865-2674
Type: Location
68 School Rd, Ste 200
Frisco, CO 80443
Phone: (970) 668-2510
Fax: (970) 668-2511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $386.
Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Kerecis Limited ($199).
Total Amount
$386
General + Research + Ownership
Payments
10
Total payment records
General Amount
$386
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $199 |
| ABBVIE INC. | $119 |
| Organogenesis Inc. | $36 |
| Urgo Medical North America, LLC | $33 |
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: 2021-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110525000107 | I | Physician Assistant | CO | TBD |
| I20170126000856 | I | Physician Assistant | NV | TBD |
| I20190215001936 | I | Physician Assistant | CA | TBD |
| I20210527001616 | I | Physician Assistant | AZ | 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 96150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| - | OH | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | SC | |
| - | NV |
Reviews
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