SHANNON MUNGOVAN (WHNP-BC) – Medical-Surgical Registered Nurse, NPI 1255063285
Medical-Surgical Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Provider Addresses for SHANNON MUNGOVAN (WHNP-BC)
505 LAKESIDE RD APT 2
SOUTHBURY, CT 064882510
Phone: (203) 733-8331
Type: Mailing
4230 BEAUTIFUL CIR
CASTLE ROCK, CO 801094549
Phone: (203) 733-8331
Type: Mailing
2801 YOUNGFIELD ST STE 200
GOLDEN, CO 804012202
Phone: (303) 940-1867
Fax: (303) 940-1894
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Organon LLC ($20).
Total Amount
$101
General + Research + Ownership
Payments
6
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $20 |
| Exact Sciences Corporation | $18 |
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
| Astellas Pharma US Inc | $16 |
| ABBVIE INC. | $15 |
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: 2024-03-13
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 |
|---|---|---|---|---|
| I20240313000028 | I | Nurse Practitioner | CO | 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 06488)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| - | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.