MRS. SHANNON NICOLE BUSTER (PA-C) – Medical Physician Assistant, NPI 1558601450
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for MRS. SHANNON NICOLE BUSTER (PA-C)
3503 SAMSON WAY STE 108
BELLEVUE, NE 681234303
Phone:
Type: Mailing
754 GOLD COAST DR STE 105
PAPILLION, NE 680464498
Phone: (402) 201-2300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $3,351.
Total Amount is formed as General ($3,351) + Research ($0) + Ownership ($0) = $3,351.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,282).
Total Amount
$3,351
General + Research + Ownership
Payments
186
Total payment records
General Amount
$3,351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,282 |
| AstraZeneca Pharmaceuticals LP | $443 |
| Otsuka America Pharmaceutical, Inc. | $312 |
| PFIZER INC. | $296 |
| Novo Nordisk Inc | $142 |
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: 2013-04-29
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 |
|---|---|---|---|---|
| I20130429000595 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 67 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 18 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
Insurance plans in this area (ZIP 68123)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 67 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Physician Assistant | NE |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.