SHANNA ROSE RIPLEY (DO) – Internal Medicine Physician, NPI 1184985921
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for SHANNA ROSE RIPLEY (DO)
6416 OLD WINTER GARDEN RD
ORLANDO, FL 328351348
Phone: (407) 447-7121
Fax: (407) 770-0661
Type: Mailing
1513 MAIN ST
GRANDVIEW, MO 640302538
Phone: (816) 731-1890
Fax: (833) 996-1159
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
5420 E BANNISTER RD.
KANSAS CITY, MO 64137
Phone: (816) 946-6930
Type: Location
5420 E Bannister Rd.
Kansas City, MO 64137
Phone: (816) 946-6930
Type: Location
PO BOX 616788
ORLANDO, FL 328616788
Phone: (407) 533-6836
Fax: (407) 770-0661
Type: Mailing
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: 2021-07-28
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 |
|---|---|---|---|---|
| I20150825002768 | I | Internal Medicine | MO | TBD |
| I20210728002090 | I | Internal Medicine | KS | 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 32835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | MO | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | MO | |
| Family Practice | FL | |
| Family Practice | MO | |
| Nurse Practitioner | KS | |
| Family Practice | FL |
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