SHANNON NICHOLE GROLEAU (ARNP) – Adult Health Nurse Practitioner, NPI 1023254299
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for SHANNON NICHOLE GROLEAU (ARNP)
PO BOX 57970
JACKSONVILLE, FL 322417970
Phone: (904) 306-9860
Fax: (904) 306-9864
Type: Mailing
San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
STE 4A
JACKSONVILLE, FL 322078568
Phone: (904) 306-9860
Fax: (904) 306-9864
Type: Location
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 322240609
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Mailing
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 322187283
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-02-02 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$207
General + Research + Ownership
Payments
11
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-08-30
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 |
|---|---|---|---|---|
| I20130830000216 | 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 32241)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | FL | |
| Anesthesiology, Interventional Pain Management | FL | |
| Interventional Pain Management | FL |
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.