SHAQUANA SUZAN BROOKS – Primary Care Nurse Practitioner, NPI 1124769617
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SHAQUANA SUZAN BROOKS
339 Cypress Pkwy Ste 210
Kissimmee, FL 347593315
Phone: (407) 785-6057
Type: Location
2902 ELDIENTE WAY
KISSIMMEE, FL 347582806
Phone: (917) 403-0046
Type: Mailing
10800 DYLAN LOREN CIR STE 102
ORLANDO, FL 328254437
Phone: (407) 277-8665
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 141 Open Payments records for all available years, with a total value of $2,347.
Total Amount is formed as General ($2,347) + Research ($0) + Ownership ($0) = $2,347.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($772).
Total Amount
$2,347
General + Research + Ownership
Payments
141
Total payment records
General Amount
$2,347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
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: 2022-06-25
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 |
|---|---|---|---|---|
| I20220625000367 | 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 34759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| P A T H O L O G Y | FL |
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