SHANE C PETERS (FNP-BC) – Family Nurse Practitioner, NPI 1689637902

SHANE C PETERS (FNP-BC) is a healthcare provider. based in Falmouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 252623 (MA). The NPI Number for SHANE C PETERS (FNP-BC) is 1689637902

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
SHANE C PETERS (FNP-BC)
NPI
1689637902
Phone
(774) 255-3010
Address
40 Davis Straits
Enumeration Date
8 April 2006
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816248000
Graduation Year
2003 (23 years ago)
PAC ID
0345434551
Group Practice PAC ID
3678487444
Professional Enrollment ID
I20101102000457
Address ID
MA021893141WE51XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for SHANE C PETERS (FNP-BC)

  • 40 Davis Straits

    Falmouth, MA 025403906

    Phone: (774) 255-3010

    Type: Location

  • 143 Longwater Dr

    Norwell, MA 020611683

    Phone: (781) 878-5200

    Type: Location

  • Nantucket Cottage Hospital, 57, Prospect Street, Mikas Pond, Nantucket, Nantucket County, Massachusetts, 02554, United States

    NANTUCKET, MA 025542799

    Phone: (508) 228-9053

    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: 2010-11-02

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
I20101102000457INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes158147$0
99204New patient office or other outpatient visit, 45-59 minutes116116$0
87804Detection test by immunoassay with direct visual observation for influenza virus11255$0
99213Established patient office or other outpatient visit, 20-29 minutes9087$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
View full utilization report →

Insurance plans in this area (ZIP 02540)

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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: 3678487444View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-MA
Nurse PractitionerMA
U R O L O G YMA
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What number should I use to identify SHANE C PETERS (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1689637902 for SHANE C PETERS (FNP-BC).
Is SHANE C PETERS (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists SHANE C PETERS (FNP-BC) as active.
What does the directory say SHANE C PETERS (FNP-BC) does?
Insurance directories may phrase it differently, but here SHANE C PETERS (FNP-BC) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SHANE C PETERS (FNP-BC)?
SHANE C PETERS (FNP-BC) shows a connection to Falmouth, Massachusetts in registry-derived data.
Can I export SHANE C PETERS (FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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