MRS. KENDALL SHEA THORNTON (FNP) – Nurse Practitioner, NPI 1134491806
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. KENDALL SHEA THORNTON (FNP)
1616 WILLIAMS DR
LEAKESVILLE, MS 394515622
Phone: (601) 394-2381
Fax: (601) 394-2593
Type: Location
940 MATTHEW DR
STE 2
WAYNESBORO, MS 393672573
Phone: (601) 394-2381
Fax: (601) 394-2593
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: 2012-02-27
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 |
|---|---|---|---|---|
| I20120227000333 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 95115 | Professional service for single injection of allergen | 304 | 51 | $0 |
| 95117 | Professional service for multiple injections of allergen | 218 | 38 | $0 |
| 69210 | Removal of impacted ear wax | 141 | 127 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 126 | 104 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 39451)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| Nurse Practitioner | MS |
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