JESSICA SHANTZ (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790255248
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for JESSICA SHANTZ (PMHNP-BC)
26029, Continental Circle, Taylor, Wayne County, Michigan, 48180, United States
TAYLOR, MI 481806900
Phone: (734) 891-5046
Type: Mailing
Ryan Road, Warren, Macomb County, Michigan, 48317, United States
WARREN, MI 480924272
Phone: (586) 582-0500
Fax: (586) 834-2231
Type: Location
28800 Ryan Rd Ste 320
Warren, MI 480924272
Phone: (586) 582-0500
Fax: (586) 834-2231
Type: Location
6549 TOWN CENTER DR
CLARKSTON, MI 483464824
Phone: (800) 395-3223
Fax: (248) 620-6405
Type: Mailing
8150 OLD 13 MILE RD
WARREN, MI 480938700
Phone: (800) 395-3223
Fax: (248) 620-6405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 371 Open Payments records for all available years, with a total value of $8,474.
Total Amount is formed as General ($8,474) + Research ($0) + Ownership ($0) = $8,474.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,519).
Total Amount
$8,474
General + Research + Ownership
Payments
371
Total payment records
General Amount
$8,474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,519 |
| Otsuka America Pharmaceutical, Inc. | $1,172 |
| Alkermes, Inc. | $834 |
| Janssen Pharmaceuticals, Inc | $611 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $553 |
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: 2022-11-16
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 |
|---|---|---|---|---|
| I20221116001196 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 316 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 60 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI |
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