SHALLYMAR BIGTACION (NP) – Family Nurse Practitioner, NPI 1053879411

SHALLYMAR BIGTACION (NP) is a healthcare provider. based in Lapeer, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704248976 (MI). The NPI Number for SHALLYMAR BIGTACION (NP) is 1053879411

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SHALLYMAR BIGTACION (NP)
NPI
1053879411
Phone
(810) 969-4500
Address
700 S MAIN ST STE 101B
Enumeration Date
5 March 2019
Last Update Date
25 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484690011
Graduation Year
2019 (7 years ago)
PAC ID
0547593345
Group Practice PAC ID
6305188491
Professional Enrollment ID
I20190611000830
Address ID
MI483622925LA845XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:7State licenses:2Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for SHALLYMAR BIGTACION (NP)

  • 101, South Main Street, Lapeer, Lapeer County, Michigan, 48446, United States

    LAPEER, MI 484463082

    Phone: (810) 969-4500

    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: 2019-06-11

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
I20190611000830INurse PractitionerMITBD

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 minutes130122$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus110108$0
99214Established patient office or other outpatient visit, 30-39 minutes9996$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
87804Detection test by immunoassay with direct visual observation for influenza virus4925$0
View full utilization report →

Insurance plans in this area (ZIP 48446)

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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: 6305188491View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerTN
-MI
Nurse PractitionerMI
Nurse PractitionerCA
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
-MI
Nurse PractitionerKS

Reviews

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Frequently asked questions

How is SHALLYMAR BIGTACION (NP) identified in CMS data?
CMS-hosted NPPES data lists SHALLYMAR BIGTACION (NP) with NPI 1053879411.
Is SHALLYMAR BIGTACION (NP) still practicing?
SHALLYMAR BIGTACION (NP) is currently listed as active in the public NPI registry.
What healthcare role does SHALLYMAR BIGTACION (NP) hold?
Scheduling teams often label SHALLYMAR BIGTACION (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SHALLYMAR BIGTACION (NP) list a practice location?
Patients near Lapeer, Michigan may find SHALLYMAR BIGTACION (NP) in results; validate coverage separately.
Is the information about SHALLYMAR BIGTACION (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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