KATHERINE MARIE SHINE (MSN, FNP) – Family Nurse Practitioner, NPI 1427482157
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATHERINE MARIE SHINE (MSN, FNP)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 631418270
Phone: (314) 251-8892
Fax: (314) 251-8894
Type: Mailing
2900 Frank Scott Pkwy W Ste 914
Belleville, IL 622235000
Phone: (618) 277-1413
Fax: (618) 277-1415
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($207).
Total Amount
$207
General + Research + Ownership
Payments
8
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $207 |
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: 2013-10-24
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 |
|---|---|---|---|---|
| I20131024001650 | I | Nurse Practitioner | MO | 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 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 71 | 17 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Psychiatry, Neurology | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | IL | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | MO |
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