SHELLEY ROSE PERRY (APRN) – Nurse Practitioner, NPI 1982830618
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SHELLEY ROSE PERRY (APRN)
1116 11th St SW
Live Oak, FL 320643608
Phone: (386) 362-0820
Fax: (386) 438-8629
Type: Location
4241, Northwest American Lane, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 320554881
Phone: (386) 752-2246
Type: Location
327, Northwest Hackney Terrace, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 320553173
Phone: (305) 342-7845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $851.
Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($154).
Total Amount
$851
General + Research + Ownership
Payments
44
Total payment records
General Amount
$851
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $154 |
| Novo Nordisk Inc | $130 |
| Grifols USA, LLC | $65 |
| Dexcom, Inc. | $55 |
| Merck Sharp & Dohme LLC | $45 |
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: 2014-08-20
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 |
|---|---|---|---|---|
| I20140820000996 | 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 32064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL |
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