MILDRED M SHRUBB (R.N., N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1922317544

MILDRED M SHRUBB (R.N., N.P.) is a healthcare provider. based in Cerritos, California. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., N.P.. They hold a License No. 225400000X (CA). The NPI Number for MILDRED M SHRUBB (R.N., N.P.) is 1922317544

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MILDRED M SHRUBB (R.N., N.P.)
NPI
1922317544
Phone
(562) 402-0688
Address
17707 STUDEBAKER RD
Enumeration Date
30 September 2010
Last Update Date
7 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624020677
Graduation Year
2011 (15 years ago)
PAC ID
1658502042
Group Practice PAC ID
7416869896
Professional Enrollment ID
I20140328000097
Address ID
CA907032640CE17707RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MILDRED M SHRUBB (R.N., N.P.)

  • 17707 STUDEBAKER RD

    CERRITOS, CA 907032640

    Phone: (562) 402-0688

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,777.

Total Amount is formed as General ($1,777) + Research ($0) + Ownership ($0) = $1,777.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($883).

Total Amount

$1,777

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-03-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140328000097INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99442Telephone medical discussion with physician, 11-20 minutes10642$0
99212Established patient office or other outpatient visit, 10-19 minutes6530$0
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
99443Telephone medical discussion with physician, 21-30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416869896View full group profile
NameSpecialtyState
Clinical PsychologistCA
P S Y C H I A T R YCA
Clinical Social WorkerCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
-CA
P S Y C H I A T R YCA
-CA
Clinical Social WorkerCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Is MILDRED M SHRUBB (R.N., N.P.) listed with a National Provider Identifier?
Yes — MILDRED M SHRUBB (R.N., N.P.) has NPI 1922317544 on file in the registry.
Is MILDRED M SHRUBB (R.N., N.P.) shown as active in public data?
Registry records indicate MILDRED M SHRUBB (R.N., N.P.) maintains an active NPI.
What clinical focus is listed for MILDRED M SHRUBB (R.N., N.P.)?
At a glance, MILDRED M SHRUBB (R.N., N.P.) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MILDRED M SHRUBB (R.N., N.P.)?
Travel planning: use Cerritos, California as the reference point for MILDRED M SHRUBB (R.N., N.P.), then confirm.
When was this NPI issued?
Enumeration for MILDRED M SHRUBB (R.N., N.P.) is noted as September 30, 2010 where the registry provides it.

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