JACQUELINE S SHRIVER (CRNP) – Women's Health Nurse Practitioner, NPI 1083606610
Women's Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JACQUELINE S SHRIVER (CRNP)
801 Pro Dr Ste D3
Celina, OH 458223307
Phone: (419) 394-7314
Fax: (419) 394-7313
Type: Location
200, Saint Clair Avenue, Saint Marys, Auglaize County, Ohio, 45885, United States
SAINT MARYS, OH 458852400
Phone: (419) 300-1129
Fax: (419) 394-9575
Type: Mailing
1067, Hager Street, Saint Marys, Auglaize County, Ohio, 45885, United States
GRAND LAKE OB/GYN
SAINT MARYS, OH 458852422
Phone: (419) 394-7314
Fax: (419) 394-7313
Type: Location
4 Eagle Dr Ste B
Minster, OH 458659714
Phone: (419) 394-7314
Fax: (419) 394-7314
Type: Location
1140 S KNOXVILLE AVE STE B
SAINT MARYS, OH 458852609
Phone: (419) 394-7314
Fax: (419) 394-7313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $818.
Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($360).
Total Amount
$818
General + Research + Ownership
Payments
42
Total payment records
General Amount
$818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $360 |
| Exeltis, USA Inc. | $105 |
| Sumitomo Pharma America, Inc. | $68 |
| Amgen Inc. | $64 |
| Novo Nordisk Inc | $36 |
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: 2004-05-17
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 |
|---|---|---|---|---|
| I20040517001099 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 61 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 40 | 40 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 37 | 37 | $0 |
| 51701 | Insertion of temporary bladder tube | 15 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 45822)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | IL | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice | OH | |
| Family Practice | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Nurse Practitioner | OH |
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.