SHELBY L LUEDERS (PA-C) – Physician Assistant, NPI 1902211170
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for SHELBY L LUEDERS (PA-C)
3912 SW 97TH DR
GAINESVILLE, FL 326084667
Phone: (563) 357-7877
Type: Mailing
915 13TH AVE N
CLINTON, IA 527325067
Phone: (563) 243-2511
Fax: (563) 243-0817
Type: Mailing
2400 LILLIAN WAY
CLINTON, IA 527322001
Phone: (563) 243-1200
Fax: (563) 242-0671
Type: Location
2400 Lillian Way
Clinton, IA 527322001
Phone: (563) 243-1200
Fax: (563) 242-0671
Type: Location
3581 SW ARCHER RD STE 40
GAINESVILLE, FL 326082428
Phone: (352) 888-4449
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-07-19 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22 |
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: 2023-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20201221000581 | I | Physician Assistant | FL | TBD |
| I20230511001650 | I | Physician Assistant | OK | 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 32608)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Family Practice | AR | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Family Practice | TN | |
| Family Practice | TX |
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.