MR. DEREK S SHELTON (ARNP) – Acute Care Nurse Practitioner, NPI 1063512077
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. DEREK S SHELTON (ARNP)
340 Starlite Dr
Henderson, KY 424206102
Phone: (812) 424-9291
Fax: (812) 421-2722
Type: Location
5828 Pearl Dr
Evansville, IN 477128116
Phone: (812) 424-9291
Fax: (812) 421-2722
Type: Location
515 Read St
Evansville, IN 477101739
Phone: (812) 424-9291
Fax: (812) 421-2722
Type: Location
Read Street, Evansville, Vanderburgh County, Indiana, 47710, United States
EVANSVILLE, IN 477101739
Phone: (812) 424-9291
Fax: (812) 421-2722
Type: Location
10455 ORTHOPAEDIC DR
NEWBURGH, IN 476307955
Phone: (812) 424-9291
Fax: (812) 421-2722
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2023-12-02 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($403).
Total Amount
$403
General + Research + Ownership
Payments
4
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $403 |
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: 2012-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070206000534 | I | Nurse Practitioner | KY | TBD |
| I20120105000120 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| P O D I A T R Y | IN | |
| - | IN | |
| - | IN | |
| Physical Medicine And Rehabilitation | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | KY |
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