SHELLEY PENNA (NP) – Family Nurse Practitioner, NPI 1831109602
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for SHELLEY PENNA (NP)
1, Park Way, Highlands, Haverhill, Essex County, Massachusetts, 01830, United States
HAVERHILL, MA 018306278
Phone: (978) 521-3270
Fax: (978) 469-5320
Type: Location
955 Main St, Main Street, Winchester, Middlesex County, Massachusetts, 01890, United States
WINCHESTER, MA 018901961
Phone: (781) 779-4878
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $3,261.
Total Amount is formed as General ($3,261) + Research ($0) + Ownership ($0) = $3,261.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($866).
Total Amount
$3,261
General + Research + Ownership
Payments
128
Total payment records
General Amount
$3,261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $866 |
| ABBVIE INC. | $485 |
| Lilly USA, LLC | $361 |
| E.R. Squibb & Sons, L.L.C. | $293 |
| UCB, Inc. | $210 |
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: 2006-10-19
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 |
|---|---|---|---|---|
| I20061019000410 | I | Nurse Practitioner | MA | 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 01830)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | CO | |
| Nurse Practitioner | MA |
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