SHANAE BARTLETT (NP-C) – Family Nurse Practitioner, NPI 1073904983
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for SHANAE BARTLETT (NP-C)
50 MAIN ST
COOPERSVILLE, MI 49404
Phone: (616) 997-4023
Fax: (616) 997-4025
Type: Location
3755 REMEMBRANCE RD NW
STE 1
GRAND RAPIDS, MI 495347745
Phone: (616) 453-4403
Fax: (616) 453-2816
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($23).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $23 |
| CSL Behring | $20 |
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: 2015-06-16
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 |
|---|---|---|---|---|
| I20150616000699 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 44 | 44 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 43 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 32 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 18 | 18 | $0 |
| 81003 | Automated urinalysis test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 49404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | CA | |
| Physician Assistant | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
Reviews
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