DR. HEATHER MARIE SHANKS (DO) – Family Medicine Physician, NPI 1285375287
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. HEATHER MARIE SHANKS (DO)
5100 N 12th Ave Ste 101
Pensacola, FL 325048919
Phone: (850) 208-6160
Fax: (850) 208-6136
Type: Location
SBRMC FAMILY MEDICINE RESIDENCY CLINIC
1851 N. MCKENZIE ST SUITE 200
FOLEY, AL 36535
Phone: (251) 424-1488
Type: Mailing
PO BOX 95590
SOUTH JORDAN, UT 840950590
Phone: (801) 784-0954
Fax: (801) 352-7976
Type: Mailing
8880 NAVARRE PKWY STE 206
NAVARRE, FL 325663614
Phone: (850) 936-6211
Fax: (850) 936-6410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $120 |
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: 2025-09-13
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 |
|---|---|---|---|---|
| I20250913000716 | I | Family Practice | 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 32504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| - | CA | |
| Nurse Practitioner | FL | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Family Practice | UT | |
| Physician Assistant | SD |
Reviews
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