DR. SHAWNIECE DEVON BOSS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1629463401

DR. SHAWNIECE DEVON BOSS (DPM) is a healthcare provider. based in Bradenton, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4090 (FL). The NPI Number for DR. SHAWNIECE DEVON BOSS (DPM) is 1629463401

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWNIECE DEVON BOSS (DPM)
NPI
1629463401
Phone
(941) 758-8818
Address
1800 CORTEZ RD W
Enumeration Date
30 March 2015
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275470000
Graduation Year
2015 (11 years ago)
PAC ID
8527308139
Group Practice PAC ID
8628140878
Professional Enrollment ID
I20190528001605
Address ID
FL337771437LA7500XRDXX403

Contacts

Secure Messaging
clinical@CFAS.directbygreenway.com
Secure Messaging
credentialing@practicedefenders.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,444 PODIATRY in FL

Provider Addresses for DR. SHAWNIECE DEVON BOSS (DPM)

  • 1800 CORTEZ RD W

    BRADENTON, FL 342071335

    Phone: (941) 758-8818

    Fax: (941) 755-2901

    Type: Mailing

  • 6707 38TH AVE N

    ST PETERSBURG, FL 337101536

    Phone: (727) 800-9958

    Fax: (555) 523-7768

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,190.

Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($581).

Total Amount

$1,190

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-05-28

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
I20190528001605IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,5941,001$0
99213Established patient office or other outpatient visit, 20-29 minutes897595$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes488307$0
99214Established patient office or other outpatient visit, 30-39 minutes187156$0
11056Removal of noncancer thickened skin growth, 2-4 growths162107$0
View full utilization report →

Insurance plans in this area (ZIP 34207)

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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: 8628140878View full group profile
NameSpecialtyState
P O D I A T R YMN
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

Does DR. SHAWNIECE DEVON BOSS (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SHAWNIECE DEVON BOSS (DPM) uses 1629463401.
Does the file indicate DR. SHAWNIECE DEVON BOSS (DPM) is practicing under active NPI?
Directory data currently reports DR. SHAWNIECE DEVON BOSS (DPM) as active.
What healthcare role does DR. SHAWNIECE DEVON BOSS (DPM) hold?
Scheduling teams often label DR. SHAWNIECE DEVON BOSS (DPM) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHAWNIECE DEVON BOSS (DPM)?
DR. SHAWNIECE DEVON BOSS (DPM)'s geographic hint is Bradenton, Florida in our summary view.
Why does DR. SHAWNIECE DEVON BOSS (DPM) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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