TAMARA LYNN SHRADER (ACNP) – Registered Nurse, NPI 1053797696

TAMARA LYNN SHRADER (ACNP) is a healthcare provider. based in Pagosa springs, Colorado. specializing in Registered Nurse. They hold the professional credentials ACNP. They hold a License No. 137323 (AK). The NPI Number for TAMARA LYNN SHRADER (ACNP) is 1053797696

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA LYNN SHRADER (ACNP)
NPI
1053797696
Phone
(907) 299-0993
Address
PO BOX 5842
Enumeration Date
5 August 2015
Last Update Date
6 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052722111
Graduation Year
2017 (9 years ago)
PAC ID
2860821709
Group Practice PAC ID
4981795267
Professional Enrollment ID
I20200329000170
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for TAMARA LYNN SHRADER (ACNP)

  • PO BOX 5842

    PAGOSA SPRINGS, CO 811475842

    Phone: (907) 299-0993

    Type: Mailing

  • 2211 LOMAS BLVD NE

    ALBUQUERQUE, NM 871062719

    Phone: (505) 272-2111

    Type: Location

  • 4136 BARTLETT ST

    HOMER, AK 996037001

    Phone: (907) 235-8586

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($101).

Total Amount

$181

General + Research + Ownership

Payments

3

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200329000170INurse PractitionerNMTBD
I20211026003177INurse PractitionerAKTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 81147)

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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: 4981795267View full group profile
NameSpecialtyState
-NM
Diagnostic RadiologyNM
-NM
-NM
-NM
-NM
Critical Care (Intensivists), Hospitalist, Internal MedicineMD
D E R M A T O L O G YNM
Urology, General SurgeryNM
-NM

Reviews

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Frequently asked questions

Where can patients find TAMARA LYNN SHRADER (ACNP)'s NPI?
You can confirm TAMARA LYNN SHRADER (ACNP) with NPI 1053797696; it appears in the national provider directory.
Does this profile mean TAMARA LYNN SHRADER (ACNP) is currently active?
Yes — TAMARA LYNN SHRADER (ACNP) appears active in the national provider directory.
What does TAMARA LYNN SHRADER (ACNP) treat or focus on?
Patients typically see TAMARA LYNN SHRADER (ACNP) under the specialty Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is TAMARA LYNN SHRADER (ACNP)'s primary listing?
We display Pagosa Springs, Colorado because that is what the record indicates for TAMARA LYNN SHRADER (ACNP).
What if Pagosa Springs, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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