SHA-VONN COLLINS – Social Worker, NPI 1396188454

SHA-VONN COLLINS is a healthcare provider. based in Reno, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 8317-S (NV). The NPI Number for SHA-VONN COLLINS is 1396188454

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHA-VONN COLLINS
NPI
1396188454
Phone
(759) 346-0437
Address
822 AITKEN ST
Enumeration Date
9 April 2013
Last Update Date
22 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7756224799
Graduation Year
2018 (8 years ago)
PAC ID
2769835537
Group Practice PAC ID
0042684771
Professional Enrollment ID
I20240129000651
Address ID
NV895215991RE10391BLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

Provider Addresses for SHA-VONN COLLINS

  • 822 AITKEN ST

    RENO, NV 895021314

    Phone: (759) 346-0437

    Type: Location

  • 170 E KENSINGTON AVE

    SALT LAKE CITY, UT 841151629

    Phone: (775) 934-6043

    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: 2024-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240129000651IClinical Social WorkerNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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 89502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042684771View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Clinical Social WorkerNV
Marriage And Family TherapistNV
Marriage And Family TherapistNV
Clinical Social WorkerNV
Clinical Social WorkerNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

What unique ID ties claims to SHA-VONN COLLINS?
NPI 1396188454 is assigned to SHA-VONN COLLINS under the national enumeration system.
Is SHA-VONN COLLINS currently active in the NPI registry?
CMS-published data lists SHA-VONN COLLINS as an active registrant.
What does SHA-VONN COLLINS treat or focus on?
Patients typically see SHA-VONN COLLINS under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for SHA-VONN COLLINS?
We surface Reno, Nevada for SHA-VONN COLLINS based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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