SHANNON BRE ANNA WATKINS – Acute Care Nurse Practitioner, NPI 1891302469

SHANNON BRE ANNA WATKINS is a healthcare provider. based in Boynton beach, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11009191 (FL). The NPI Number for SHANNON BRE ANNA WATKINS is 1891302469

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BRE ANNA WATKINS
NPI
1891302469
Phone
(561) 704-9305
Address
2937 QUANTUM LAKES DR
Enumeration Date
28 September 2020
Last Update Date
28 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619657228
Graduation Year
2020 (6 years ago)
PAC ID
6002229234
Group Practice PAC ID
4385925650
Professional Enrollment ID
I20210108000069
Address ID
FL334626626AT5503XAVEX402

Contacts

Secure Messaging
sxw1012@miami.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SHANNON BRE ANNA WATKINS

  • 2937 QUANTUM LAKES DR

    BOYNTON BEACH, FL 334268303

    Phone: (561) 704-9305

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($61).

Total Amount

$195

General + Research + Ownership

Payments

8

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2021-01-08

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
I20210108000069INurse PractitionerFLTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 33426)

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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: 4385925650View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
Nurse PractitionerFL
Internal Medicine, NephrologyFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL

Reviews

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Frequently asked questions

Where can patients find SHANNON BRE ANNA WATKINS's NPI?
You can confirm SHANNON BRE ANNA WATKINS with NPI 1891302469; it appears in the national provider directory.
Is SHANNON BRE ANNA WATKINS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SHANNON BRE ANNA WATKINS work in?
You can think of SHANNON BRE ANNA WATKINS as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SHANNON BRE ANNA WATKINS practice in Florida?
You will see Boynton Beach, Florida on file for SHANNON BRE ANNA WATKINS alongside any extra practice locations.
What if Boynton Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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