SHAWN M. LEE (ACNP-BC, FNP) – Nurse Practitioner, NPI 1043285091
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHAWN M. LEE (ACNP-BC, FNP)
1005 MAR WALT DR
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8150
Fax: (850) 863-4152
Type: Mailing
2001 E HIGHWAY 20
NICEVILLE, FL 325788826
Phone: (508) 863-8219
Fax: (850) 863-8249
Type: Location
15415, Panama City Beach Parkway, Pier Park, Bid-A-Wee, Panama City Beach, Bay County, Florida, 32413, United States
PANAMA CITY BEACH, FL 324135409
Phone: (571) 218-0526
Type: Location
32, Sonata Street, Freeport, Walton County, Florida, 32439, United States
FREEPORT, FL 324396573
Phone:
Type: Mailing
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 $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Amgen Inc. ($19).
Total Amount
$49
General + Research + Ownership
Payments
3
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $19 |
| ABBVIE INC. | $16 |
| Lilly USA, LLC | $14 |
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: 2020-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070222000155 | I | Nurse Practitioner | DC | TBD |
| I20201211002722 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 288 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 259 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 231 | 213 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 169 | 106 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 99 | 89 | $0 |
Insurance plans in this area (ZIP 32547)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TN | 81002 | Urinalysis, manual test | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | SC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| General Surgery | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| - | NC | |
| Physician Assistant | NC | |
| - | NC | |
| Nurse Practitioner | GA |
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