SHANNON L JEFFERY (DNP, AGPCNP-BC, PNP) – Internal Medicine Physician, NPI 1134546260
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
Provider Addresses for SHANNON L JEFFERY (DNP, AGPCNP-BC, PNP)
918 PAMPAS DR SE
ALBUQUERQUE, NM 871084419
Phone: (603) 540-7655
Type: Mailing
1740 W Taylor St
Chicago, IL 606127232
Phone: (312) 413-7686
Fax: (312) 355-4100
Type: Location
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 871064310
Phone:
Type: Mailing
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
Phone: (505) 272-1415
Type: Location
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: 2020-08-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200831001232 | I | Nurse Practitioner | NM | 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 87108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | NM | |
| - | NM | |
| Clinical Social Worker | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| Certified Clinical Nurse Specialist (Cns) | NM | |
| Nurse Practitioner | NM | |
| Clinical Psychologist | NM | |
| Nurse Practitioner | NM |
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