MRS. SHANNON JAMES WORTHY (ARNP) – Acute Care Nurse Practitioner, NPI 1790196087
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for MRS. SHANNON JAMES WORTHY (ARNP)
3300 S FISKE BLVD
ROCKLEDGE, FL 329554306
Phone: (321) 434-1771
Fax: (321) 951-7408
Type: Mailing
1250 Grumman Pl Ste B
Titusville, FL 32780
Phone: (321) 269-4240
Type: Location
1350 HICKORY ST
MELBOURNE, FL 32901
Phone: (321) 434-1771
Fax: (321) 434-1775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: ATRICURE, INC. ($117).
Total Amount
$135
General + Research + Ownership
Payments
3
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $117 |
| E.R. Squibb & Sons, L.L.C. | $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: 2015-06-25
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 |
|---|---|---|---|---|
| I20150625000867 | I | Nurse Practitioner | FL | 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 32955)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Family Practice | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | 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.