MRS. SHANNON RACHELLE CARIE (PA-C) – Physician Assistant, NPI 1083968051
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SHANNON RACHELLE CARIE (PA-C)
405 W BLOOMINGDALE AVE
BRANDON, FL 335117401
Phone: (813) 662-3376
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 16 Open Payments records for all available years, with a total value of $448.
Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($158).
Total Amount
$448
General + Research + Ownership
Payments
16
Total payment records
General Amount
$448
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $158 |
| Biofrontera Inc. | $101 |
| PFIZER INC. | $85 |
| ABBVIE INC. | $57 |
| Dermavant Sciences, Inc. | $18 |
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: 2013-04-15
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 |
|---|---|---|---|---|
| I20130415000050 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 238 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 149 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 141 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 118 | 104 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 109 | 59 | $0 |
Insurance plans in this area (ZIP 33511)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 180 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | MS |
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