MRS. SHELLEY H MALLARD (APRN, BC, FNP) – Family Nurse Practitioner, NPI 1568404457
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MRS. SHELLEY H MALLARD (APRN, BC, FNP)
305, Jones Avenue, Waynesboro, Burke County, Georgia, 30830, United States
WAYNESBORO, GA 308301510
Phone: (706) 554-5147
Fax: (706) 554-6111
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 45 Open Payments records for all available years, with a total value of $812.
Total Amount is formed as General ($812) + Research ($0) + Ownership ($0) = $812.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($107).
Total Amount
$812
General + Research + Ownership
Payments
45
Total payment records
General Amount
$812
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 |
|---|---|
| Novo Nordisk Inc | $107 |
| Otsuka America Pharmaceutical, Inc. | $93 |
| Lilly USA, LLC | $65 |
| Boston Scientific Corporation | $51 |
| PFIZER INC. | $51 |
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: 2010-04-23
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 |
|---|---|---|---|---|
| I20100423000274 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30830)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 83036 | Hemoglobin A1C level | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Internal Medicine | GA | |
| Undefined Non Physician Type (Specify) | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice, Obstetrics/Gynecology | GA |
Reviews
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