TIFFANY DAWN SHADLE (FNP-C) – Family Nurse Practitioner, NPI 1750560298
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,248 NURSE PRACTITIONER in CO
Provider Addresses for TIFFANY DAWN SHADLE (FNP-C)
320 E Fontanero St Ste 103
Colorado Springs, CO 809077535
Phone: (719) 300-4068
Type: Location
950 E Harvard Ave Ste 480
Denver, CO 802107004
Phone: (720) 702-0444
Type: Location
3023, Perryton Parkway, Pampa, Gray County, Texas, 79065, United States
SUITE 101
PAMPA, TX 790652821
Phone: (806) 665-0801
Fax: (806) 665-8503
Type: Mailing
4179 S Riverboat Rd Ste 170
Taylorsville, UT 841232702
Phone: (385) 276-3945
Fax: (801) 852-0999
Type: Location
400 S McCaslin Blvd Ste 211
Superior, CO 800279701
Phone: (720) 722-6330
Type: Location
947 S 500 E Ste 302
American Fork, UT 840033370
Phone: (801) 921-6530
Fax: (801) 772-9874
Type: Location
1492 W Antelope Dr Ste 211
Layton, UT 840411158
Phone: (385) 382-1440
Fax: (801) 991-3306
Type: Location
9980 Park Meadows Dr Ste 103
Lone Tree, CO 801248404
Phone: (720) 702-0400
Type: Location
1411 S Potomac St Ste 310
Aurora, CO 800124539
Phone: (303) 268-8220
Type: Location
2478 Patterson Rd Ste 20
Grand Junction, CO 815053606
Phone: (970) 822-7700
Type: Location
1648B Alameda Blvd NW
Albuquerque, NM 871148807
Phone: (505) 966-9644
Fax: (505) 212-5792
Type: Location
437 S Bluff St Ste 201
St George, UT 847703555
Phone: (435) 523-4040
Fax: (435) 359-5218
Type: Location
3023 PERRYTON PKWY STE 101
PAMPA, TX 790652817
Phone: (806) 665-0801
Fax: (806) 665-8503
Type: Mailing
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 $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $122 |
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: 2025-11-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170706000253 | I | Nurse Practitioner | NM | TBD |
| I20240927000527 | I | Nurse Practitioner | AZ | TBD |
| I20240930001841 | I | Nurse Practitioner | UT | TBD |
| I20251107003821 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| J1306 | Injection, inclisiran, 1 mg | 4,544 | 12 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 104 | 27 | $0 |
Insurance plans in this area (ZIP 80907)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | WA | |
| Internal Medicine | AZ | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ |
Reviews
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