DR. SHELLEY KATHLEEN PERKINS (M.D.) – Surgery Physician, NPI 1023077435
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 GENERAL SURGERY in ID
Provider Addresses for DR. SHELLEY KATHLEEN PERKINS (M.D.)
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
3399 E LOUISE DR STE 400
MERIDIAN, ID 836425212
Phone: (208) 706-4650
Fax: (208) 706-4651
Type: Location
104 WAHOO LN
OCEANSIDE, CA 920581008
Phone: (443) 510-5264
Type: Mailing
620 JOHN PAUL JONES CIR DEPT GENERAL
PORTSMOUTH, VA 237082111
Phone: (443) 510-5264
Type: Location
Naval Hospital Camp Lejeune, 100, Brewster Boulevard, Marine Corps Base Camp Lejeune, Onslow County, North Carolina, 28547, United States
DEPARTMENT OF GENERAL SURGERY
CAMP LEJEUNE, NC 285472538
Phone: (910) 450-4760
Fax: (910) 450-3408
Type: Mailing
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: 2024-05-28
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 |
|---|---|---|---|---|
| I20240528002658 | I | General Surgery | ID | 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 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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