MRS. CARMEN SHAVON HILL-MEKOBA (DNP, APRN-BC) – Gerontology Nurse Practitioner, NPI 1871699348
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MRS. CARMEN SHAVON HILL-MEKOBA (DNP, APRN-BC)
250 BLUE SPRUCE CIR
ALPHARETTA, GA 300057245
Phone: (678) 893-0734
Fax: (678) 242-0452
Type: Mailing
9706 N FOUR PEAKS WAY
FOUNTAIN HILLS, AZ 852686561
Phone: (404) 453-8558
Fax: (470) 201-1098
Type: Mailing
15333 N PIMA RD STE 305
SCOTTSDALE, AZ 852602717
Phone: (480) 805-5453
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20180702003257 | I | Nurse Practitioner | AZ | TBD |
| I20250224001678 | I | Nurse Practitioner | WV | TBD |
| I20250320001558 | I | Nurse Practitioner | NM | TBD |
| I20250902002902 | I | Nurse Practitioner | TX | TBD |
| I20250903003783 | I | Nurse Practitioner | CO | TBD |
| I20250906000560 | I | Nurse Practitioner | WA | TBD |
| I20250906000690 | I | Nurse Practitioner | NV | 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 30005)
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