RAINA SHANKS (D.O.) – Emergency Medicine Physician, NPI 1417008475
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for RAINA SHANKS (D.O.)
655 W 8th St # C506
Clinical Center, 1st Floor
Jacksonville, FL 322096511
Phone: (904) 244-3837
Fax: (904) 244-4508
Type: Location
West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States
CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL 322096511
Phone: (904) 244-3837
Fax: (904) 244-4508
Type: Mailing
2003 KOOTENAI HEALTH WAY FL CENTER1
COEUR D ALENE, ID 838146051
Phone: (208) 625-5700
Fax: (208) 625-5708
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20091026000048 | I | Emergency Medicine | MO | TBD |
| I20200527003040 | I | Emergency Medicine | CA | TBD |
| I20220613001799 | I | Emergency Medicine | ND | TBD |
| I20221208001129 | I | Emergency Medicine | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 206 | 205 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 70 | 70 | $0 |
| 99291 | Critical care, first 30-74 minutes | 21 | 21 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 32209)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 173 | 151 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.