DR. SHANA R. SCHROEDER (DO) – Dermatology Physician, NPI 1790056711

DR. SHANA R. SCHROEDER (DO) is a healthcare provider. based in Mount dora, Florida. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. OS11685 (FL). The NPI Number for DR. SHANA R. SCHROEDER (DO) is 1790056711

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANA R. SCHROEDER (DO)
NPI
1790056711
Phone
(813) 321-1786
Address
17521 US Highway 441 Ste 21
Enumeration Date
23 January 2012
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523505230
Graduation Year
2010 (16 years ago)
PAC ID
1355576588
Group Practice PAC ID
1759424104
Professional Enrollment ID
I20131024001103
Address ID
FL347489050LE2795027XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. SHANA R. SCHROEDER (DO)

  • 17521 US Highway 441 Ste 21

    Mount Dora, FL 327576737

    Phone: (813) 321-1786

    Fax: (813) 321-1787

    Type: Location

  • 18228 N US HIGHWAY 41

    LUTZ, FL 335494400

    Phone: (813) 321-1786

    Fax: (813) 321-1787

    Type: Mailing

  • 27950 US HIGHWAY 27

    LEESBURG, FL 347489050

    Phone: (813) 321-1786

    Fax: (813) 321-1787

    Type: Location

  • 4600 LINTON BLVD

    S. 340

    DELRAY BEACH, FL 334456600

    Phone: (561) 495-9797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($79).

Total Amount

$312

General + Research + Ownership

Payments

14

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2013-10-24

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
I20131024001103IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,241204$0
99213Established patient office or other outpatient visit, 20-29 minutes898577$0
17000Destruction of precancer skin growth, 1 growth394290$0
11102Biopsy of related skin growth, first growth329263$0
17110Destruction of skin growth, 1-14 growths248210$0
View full utilization report →

Insurance plans in this area (ZIP 32757)

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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: 1759424104View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Nurse PractitionerFL
-TX
Physician AssistantFL
Physician AssistantFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantFL

Reviews

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Frequently asked questions

What number should I use to identify DR. SHANA R. SCHROEDER (DO) for billing?
Administrative and clinical systems typically use NPI 1790056711 for DR. SHANA R. SCHROEDER (DO).
Is DR. SHANA R. SCHROEDER (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. SHANA R. SCHROEDER (DO) as active.
Which specialty label fits DR. SHANA R. SCHROEDER (DO)?
NPPES ties DR. SHANA R. SCHROEDER (DO) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SHANA R. SCHROEDER (DO) in Mount Dora, Florida?
For routing, start with Mount Dora, Florida for DR. SHANA R. SCHROEDER (DO), then verify phone and hours locally.
Why is information missing for DR. SHANA R. SCHROEDER (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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