SHANNON L MALIKOWSKI (CNP) – Women's Health Nurse Practitioner, NPI 1255463030

SHANNON L MALIKOWSKI (CNP) is a healthcare provider. based in Mansfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. NP-06714 (OH). The NPI Number for SHANNON L MALIKOWSKI (CNP) is 1255463030

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON L MALIKOWSKI (CNP)
NPI
1255463030
Phone
(419) 756-6000
Address
500 S TRIMBLE RD
Enumeration Date
9 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303446505
Graduation Year
2001 (25 years ago)
PAC ID
6901104199
Group Practice PAC ID
4183529340
Professional Enrollment ID
I20160421001596
Address ID
OH443021705AK224XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SHANNON L MALIKOWSKI (CNP)

  • 500 S TRIMBLE RD

    MANSFIELD, OH 449064103

    Phone: (419) 756-6000

    Fax: (419) 756-1774

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lilly USA, LLC ($125).

Total Amount

$353

General + Research + Ownership

Payments

11

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-04-21

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
I20160421001596INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
99214Established patient office or other outpatient visit, 30-39 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 44906)

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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: 4183529340View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Gynecological OncologyFL
-OH
A N E S T H E S I O L O G YIL
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
Rheumatology, Internal MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

Is there an official ID for SHANNON L MALIKOWSKI (CNP) in U.S. healthcare records?
The official identifier for SHANNON L MALIKOWSKI (CNP) is NPI 1255463030.
Is SHANNON L MALIKOWSKI (CNP) shown as active in public data?
Registry records indicate SHANNON L MALIKOWSKI (CNP) maintains an active NPI.
What area of care is associated with SHANNON L MALIKOWSKI (CNP)?
SHANNON L MALIKOWSKI (CNP)'s record emphasizes Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANNON L MALIKOWSKI (CNP) associated with Mansfield?
Public fields place SHANNON L MALIKOWSKI (CNP) around Mansfield, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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