JARREL LYNNE SHACKLEFORD (PA-C) – Physician Assistant, NPI 1548559099
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for JARREL LYNNE SHACKLEFORD (PA-C)
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
207 QUAKER LN
WEST WARWICK, RI 028932283
Phone: (401) 828-7110
Fax: (401) 827-6364
Type: Location
207 Quaker Ln
West Warwick, RI 028932283
Phone: (401) 828-7110
Fax: (401) 827-6364
Type: Location
PO BOX 936857
ATLANTA, GA 311936857
Phone: (910) 662-8765
Fax: (910) 362-9123
Type: Mailing
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 284035350
Phone: (910) 662-8765
Fax: (910) 362-9123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $727.
Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Medtronic, Inc. ($387).
Total Amount
$727
General + Research + Ownership
Payments
12
Total payment records
General Amount
$727
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $387 |
| Laborie Medical Technologies Corp. | $126 |
| Endo USA, Inc. | $124 |
| PROCEPT BioRobotics Corporation | $42 |
| Endo Pharmaceuticals Inc. | $18 |
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: 2022-07-28
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 |
|---|---|---|---|---|
| I20190218002404 | I | Physician Assistant | HI | TBD |
| I20220728001542 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 267 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 224 | 151 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 196 | 137 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 48 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 41 | $0 |
Insurance plans in this area (ZIP 33907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Cardiovascular Disease (Cardiology), Vascular Surgery | NC | |
| N E U R O L O G Y | NC | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | CA | |
| Physician Assistant | NC | |
| N E U R O L O G Y | NC | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | NC |
Reviews
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