SHANNON WAIT (APRN, FNP-C) – Family Nurse Practitioner, NPI 1710547328
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for SHANNON WAIT (APRN, FNP-C)
Lagrande Boulevard, Lady Lake, The Villages, Lake County, Florida, 32159, United States
THE VILLAGES, FL 321592386
Phone: (352) 750-1999
Type: Location
19026 Ridgewood Pkwy Ste 311
San Antonio, TX 782595502
Phone: (833) 210-4673
Fax: (833) 211-4673
Type: Location
1200 Brooklyn Ave Ste 320
San Antonio, TX 782124803
Phone: (210) 229-7242
Type: Location
19026 RIDGEWOOD PKWY STE 311
SAN ANTONIO, TX 782595502
Phone: (833) 210-4673
Fax: (833) 211-4673
Type: Mailing
1628 LOCKHILL SELMA RD
SAN ANTONIO, TX 782131929
Phone: (210) 265-5920
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $302.
Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Lilly USA, LLC ($192).
Total Amount
$302
General + Research + Ownership
Payments
10
Total payment records
General Amount
$302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-01-20
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 |
|---|---|---|---|---|
| I20210120003131 | I | Nurse Practitioner | TX | 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 32159)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL |
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.