MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) – Family Nurse Practitioner, NPI 1396376596

MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) is a healthcare provider. based in Zebulon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, NP-C. They hold a License No. 206832 (GA). The NPI Number for MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) is 1396376596

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)
NPI
1396376596
Phone
(770) 584-9121
Address
305 WHITFIELD BND
Enumeration Date
28 January 2020
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704604285
Graduation Year
2019 (7 years ago)
PAC ID
7911328117
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20200526000898
Address ID
GA302147663FA101XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)

  • 305 WHITFIELD BND

    ZEBULON, GA 302953584

    Phone: (770) 584-9121

    Type: Mailing

  • 747 S HILL ST

    GRIFFIN, GA 302244830

    Phone: (770) 228-5407

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 163 Open Payments records for all available years, with a total value of $3,005.

Total Amount is formed as General ($3,005) + Research ($0) + Ownership ($0) = $3,005.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($478).

Total Amount

$3,005

General + Research + Ownership

Payments

163

Total payment records

General Amount

$3,005

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-05-26

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
I20200526000898INurse PractitionerGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes12598$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9816$0
99214Established patient office or other outpatient visit, 30-39 minutes8066$0
J0696Injection, ceftriaxone sodium, per 250 mg6515$0
96372Injection of drug or substance under skin or into muscle4127$0
View full utilization report →

Insurance plans in this area (ZIP 30295)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)?
The registry entry for MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) shows NPI 1396376596.
Is MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)'s NPI status active today?
Active status means MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)'s NPI record is not deactivated in the public file.
What type of care does MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) provide?
MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C)?
MRS. HOLLY ANN SHOEMAKER (MSN, APRN, NP-C) shows a connection to Zebulon, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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