SHELLEY NICHOLLS (APRN) – Pediatric Nurse Practitioner, NPI 1013424555
Pediatric Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SHELLEY NICHOLLS (APRN)
601 5TH ST S
ST PETERSBURG, FL 337014804
Phone: (727) 767-3636
Fax: (727) 767-3638
Type: Location
1450 NW 10th Ave
Miami, FL 331361011
Phone: (305) 243-3498
Fax: (305) 243-5791
Type: Location
Northwest 49th Street, Fort Lauderdale, Broward County, Florida, 33309, United States
FORT LAUDERDALE, FL 333093750
Phone: (954) 764-0921
Fax: (954) 467-7432
Type: Mailing
1450, Northwest 10th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361011
Phone: (305) 243-3498
Fax: (305) 243-5791
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 $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($41).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $41 |
| Mannkind Corporation | $21 |
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: 2020-09-03
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 |
|---|---|---|---|---|
| I20200903002557 | I | Nurse Practitioner | FL | 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 33701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | FL | |
| H O S P I T A L I S T | FL | |
| H O S P I T A L I S T | FL | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| General Surgery | VA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | LA | |
| Pediatric Medicine | NY |
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