MRS. SHOBHA REBALA (APRN) – Primary Care Nurse Practitioner, NPI 1457731663

MRS. SHOBHA REBALA (APRN) is a healthcare provider. based in Tallahassee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9179052 (FL). The NPI Number for MRS. SHOBHA REBALA (APRN) is 1457731663

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHOBHA REBALA (APRN)
NPI
1457731663
Phone
(850) 878-1171
Address
2617 MITCHAM DR STE 102
Enumeration Date
2 June 2015
Last Update Date
29 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508788714
Graduation Year
2014 (12 years ago)
PAC ID
0840506499
Group Practice PAC ID
6103724778
Professional Enrollment ID
I20150827002864
Address ID
FL323085352TA1607XCTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. SHOBHA REBALA (APRN)

  • 2617 MITCHAM DR STE 102

    TALLAHASSEE, FL 323085479

    Phone: (850) 878-1171

    Fax: (850) 942-1291

    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)

CMS reports 55 Open Payments records for all available years, with a total value of $1,505.

Total Amount is formed as General ($1,505) + Research ($0) + Ownership ($0) = $1,505.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($467).

Total Amount

$1,505

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-27

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
I20150827002864INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes184145$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
94729Test to examine how well the lungs exchange gases1414$0
99215Established patient office or other outpatient visit, 40-54 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 6103724778View full group profile
NameSpecialtyState
R H E U M A T O L O G YKY
Cardiovascular Disease (Cardiology), Internal MedicineFL
Physician AssistantFL
E N D O C R I N O L O G YMN
-FL
Internal MedicineFL
-IA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SHOBHA REBALA (APRN)?
NPI 1457731663 is assigned to MRS. SHOBHA REBALA (APRN) under the national enumeration system.
Is MRS. SHOBHA REBALA (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. SHOBHA REBALA (APRN)'s specialty in plain language?
Clinically, the directory lists MRS. SHOBHA REBALA (APRN) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. SHOBHA REBALA (APRN) practice in Florida?
You will see Tallahassee, Florida on file for MRS. SHOBHA REBALA (APRN) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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