DR. SHACARA WILSON (M.D.) – Family Medicine Physician, NPI 1194014621

DR. SHACARA WILSON (M.D.) is a healthcare provider. based in St petersburg, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. TR15398 (FL). The NPI Number for DR. SHACARA WILSON (M.D.) is 1194014621

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHACARA WILSON (M.D.)
NPI
1194014621
Phone
(727) 893-6116
Address
701 6TH ST S
Enumeration Date
5 April 2011
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7278936116
Graduation Year
2010 (16 years ago)
PAC ID
6608018981
Group Practice PAC ID
2668882507
Professional Enrollment ID
I20131227000093
Address ID
FL337014815ST700XXSXXX407
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. SHACARA WILSON (M.D.)

  • 701 6TH ST S

    ST PETERSBURG, FL 337014814

    Phone: (727) 893-6116

    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)

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: 2013-12-27

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
I20131227000093IFamily PracticeFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11788$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4423$0
99214Established patient office or other outpatient visit, 30-39 minutes4325$0
82962Blood glucose (sugar) test performed by hand-held instrument3320$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2812$0
View full utilization report →

Insurance plans in this area (ZIP 33701)

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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: 2668882507View full group profile
NameSpecialtyState
Radiation OncologyMI
Nurse PractitionerFL
Family PracticeFL
Physician AssistantFL
General Surgery, Critical Care (Intensivists)FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Physician AssistantFL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is DR. SHACARA WILSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. SHACARA WILSON (M.D.) with NPI 1194014621.
Does CMS list DR. SHACARA WILSON (M.D.) as active?
Yes — DR. SHACARA WILSON (M.D.) is active in the NPI listing used on this page.
What is DR. SHACARA WILSON (M.D.) best known for clinically?
Directory data describes DR. SHACARA WILSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. SHACARA WILSON (M.D.) list a practice location?
Patients near St Petersburg, Florida may find DR. SHACARA WILSON (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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