VERONICA SHAHAN (APRN) – Nurse Practitioner, NPI 1003664202

VERONICA SHAHAN (APRN) is a healthcare provider. based in Middleburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11032689 (FL). The NPI Number for VERONICA SHAHAN (APRN) is 1003664202

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
VERONICA SHAHAN (APRN)
NPI
1003664202
Phone
(706) 248-3433
Address
1861 PENZANCE PKWY
Enumeration Date
11 May 2024
Last Update Date
11 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043888686
Graduation Year
2024 (2 years ago)
PAC ID
3274075445
Group Practice PAC ID
1850515040
Professional Enrollment ID
I20240604002264
Address ID
FL322044416JA2151XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for VERONICA SHAHAN (APRN)

  • 1861 PENZANCE PKWY

    MIDDLEBURG, FL 320683934

    Phone: (706) 248-3433

    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 3 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($133).

Total Amount

$151

General + Research + Ownership

Payments

3

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2024-06-04

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
I20240604002264INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32068)

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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: 1850515040View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Gastroenterology, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How is VERONICA SHAHAN (APRN) identified in CMS data?
CMS-hosted NPPES data lists VERONICA SHAHAN (APRN) with NPI 1003664202.
Can I rely on VERONICA SHAHAN (APRN) being an active provider?
As of the registry snapshot, VERONICA SHAHAN (APRN) is marked active.
What is VERONICA SHAHAN (APRN) best known for clinically?
Directory data describes VERONICA SHAHAN (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for VERONICA SHAHAN (APRN)?
VERONICA SHAHAN (APRN)'s geographic hint is Middleburg, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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