DR. SHANNON MARIE BARSEMA (PHD) – Clinical Neuropsychologist, NPI 1104180280

DR. SHANNON MARIE BARSEMA (PHD) is a healthcare provider. based in Clearwater, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY 9339 (FL). The NPI Number for DR. SHANNON MARIE BARSEMA (PHD) is 1104180280

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MARIE BARSEMA (PHD)
NPI
1104180280
Phone
(727) 532-1355
Address
2995 DREW ST FL 2
Enumeration Date
3 July 2012
Last Update Date
3 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274618635
Graduation Year
2010 (16 years ago)
PAC ID
8325294226
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20160808000710
Address ID
FL337563395CL430XXSTXX403
Telehealth
Yes

Contacts

Secure Messaging
shannon.foster@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. SHANNON MARIE BARSEMA (PHD)

  • 2995 DREW ST FL 2

    CLEARWATER, FL 337593012

    Phone: (727) 532-1355

    Fax: (813) 635-2613

    Type: Mailing

  • 430 MORTON PLANT ST STE 401

    CLEARWATER, FL 337563394

    Phone: (727) 298-6025

    Fax: (727) 461-8648

    Type: Mailing

  • 430 MORTON PLANT ST

    SUITE 402

    CLEARWATER, FL 337563398

    Phone: (727) 461-8635

    Fax: (727) 333-6038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-08-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160808000710IClinical PsychologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes63970$0
96133Evaluation of neuropsychological test, each additional hour24574$0
96121Exam of neurobehavioral status, each additional hour19375$0
96116Exam of neurobehavioral status, first hour7575$0
96132Evaluation of neuropsychological test, first hour7575$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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Provider's Procedures

DR. SHANNON MARIE BARSEMA (PHD) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALFL96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour23570

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406753623View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. SHANNON MARIE BARSEMA (PHD) using NPI 1104180280?
NPI 1104180280 belongs to DR. SHANNON MARIE BARSEMA (PHD); compare other details if you need extra assurance.
Is there an active status for DR. SHANNON MARIE BARSEMA (PHD)?
For scheduling context, DR. SHANNON MARIE BARSEMA (PHD) is shown as active in the registry.
What area of care is associated with DR. SHANNON MARIE BARSEMA (PHD)?
DR. SHANNON MARIE BARSEMA (PHD)'s record emphasizes Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHANNON MARIE BARSEMA (PHD)?
Travel planning: use Clearwater, Florida as the reference point for DR. SHANNON MARIE BARSEMA (PHD), then confirm.
When was this NPI issued?
Enumeration for DR. SHANNON MARIE BARSEMA (PHD) is noted as July 3, 2012 where the registry provides it.

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