MS. PAMELA SUE SHODA (N.P.) – Nurse Practitioner, NPI 1194823989
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for MS. PAMELA SUE SHODA (N.P.)
5750, Falls Drive, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047147
Phone: (260) 436-8000
Fax: (260) 432-5587
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 241 Open Payments records for all available years, with a total value of $3,663.
Total Amount is formed as General ($3,663) + Research ($0) + Ownership ($0) = $3,663.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,058).
Total Amount
$3,663
General + Research + Ownership
Payments
241
Total payment records
General Amount
$3,663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,058 |
| ABBVIE INC. | $357 |
| Regeneron Healthcare Solutions, Inc. | $300 |
| GENZYME CORPORATION | $242 |
| Dermavant Sciences, Inc. | $227 |
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: 2006-02-06
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 |
|---|---|---|---|---|
| I20060206000552 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 339 | 316 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 211 | 74 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 169 | 160 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 130 | 118 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 77 | 74 | $0 |
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | OH | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | IN |
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