NANCY ANN SHADICK (MD) – Rheumatology Physician, NPI 1356307292

NANCY ANN SHADICK (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. 71058 (MA). The NPI Number for NANCY ANN SHADICK (MD) is 1356307292

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
NANCY ANN SHADICK (MD)
NPI
1356307292
Phone
(857) 307-0896
Address
111 CYPRESS ST
Enumeration Date
20 April 2006
Last Update Date
3 May 2012

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177325500
Graduation Year
1986 (40 years ago)
PAC ID
9133167745
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20050422000613
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

306 RHEUMATOLOGY in MA

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Provider Addresses for NANCY ANN SHADICK (MD)

  • Cypress Street, Brookline, Norfolk County, Massachusetts, 02445, United States

    BROOKLINE, MA 024456002

    Phone: (857) 307-0896

    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)

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: 2005-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050422000613IRheumatologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5236$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm NANCY ANN SHADICK (MD)'s NPI?
Yes. NANCY ANN SHADICK (MD) is listed with NPI 1356307292 in the public NPI dataset.
Is NANCY ANN SHADICK (MD) still practicing?
NANCY ANN SHADICK (MD) is currently listed as active in the public NPI registry.
What is NANCY ANN SHADICK (MD) best known for clinically?
Directory data describes NANCY ANN SHADICK (MD) with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NANCY ANN SHADICK (MD)?
NANCY ANN SHADICK (MD)'s geographic hint is Brookline, Massachusetts in our summary view.
Why does NANCY ANN SHADICK (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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