MS. CANISHA SHANARA GILLON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063981892
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. CANISHA SHANARA GILLON (PMHNP)
725 N 12th Ave Bldg B
Arcadia, FL 342668752
Phone: (863) 494-1242
Type: Location
2910 BONITA CIR
KISSIMMEE, FL 347447224
Phone: (407) 486-2085
Type: Mailing
330 KAY LARKIN DR
PALATKA, FL 321772307
Phone: (386) 329-3780
Type: Location
2995 DREW ST FL 2
CLEARWATER, FL 337593012
Phone: (727) 532-0002
Type: Mailing
1201 1ST ST S
WINTER HAVEN, FL 338803904
Phone: (863) 294-7062
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($50).
Total Amount
$128
General + Research + Ownership
Payments
7
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190122000623 | I | Nurse Practitioner | FL | TBD |
| I20230414000045 | I | Nurse Practitioner | GA | TBD |
| I20251212002269 | I | Nurse Practitioner | NC | 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 34266)
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