SHANNETTE M AILES (NP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1740677210
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for SHANNETTE M AILES (NP-C)
1100 REID PKWY
MEDICAL STAFF SERVICES
RICHMOND, IN 473741157
Phone: (765) 983-3050
Fax: (765) 935-7950
Type: Mailing
700 8TH AVE W STE 101
PALMETTO, FL 342214737
Phone: (941) 776-4000
Fax: (941) 845-4963
Type: Mailing
725 N 12TH AVE BLDG B
ARCADIA, FL 342668752
Phone: (863) 494-1242
Type: Location
101 S 10th St
Richmond, IN 473745547
Phone: (765) 965-4299
Fax: (765) 962-0030
Type: Location
1100 Reid Pkwy
Reid Hospital & Health Care Services
Richmond, IN 473741157
Phone: (765) 983-3050
Fax: (765) 935-7950
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: 2022-05-19
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 |
|---|---|---|---|---|
| I20220519002525 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 47374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NC | |
| Nurse Practitioner | NC | |
| - | NC | |
| - | NC | |
| Clinical Social Worker | PA | |
| - | NC | |
| - | NC | |
| Mental Health Counselor | NC | |
| - | NC | |
| - | NC |
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