SHAKELE BROWN – Psychiatric/Mental Health Nurse Practitioner, NPI 1316614936

SHAKELE BROWN is a healthcare provider. based in South euclid, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.0029594 (OH). The NPI Number for SHAKELE BROWN is 1316614936

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHAKELE BROWN
NPI
1316614936
Phone
Not provided
Address
13829 CEDAR RD APT 203
Enumeration Date
23 August 2021
Last Update Date
23 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168316611
Graduation Year
2021 (5 years ago)
PAC ID
9830588227
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20211104002282
Address ID
OH441225694BE25101BLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SHAKELE BROWN

  • 13829 CEDAR RD APT 203

    SOUTH EUCLID, OH 441182357

    Phone:

    Type: Mailing

  • 35900 EUCLID AVE

    WILLOUGHBY, OH 440944623

    Phone: (800) 438-4673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,660.

Total Amount is formed as General ($1,660) + Research ($0) + Ownership ($0) = $1,660.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ITI, Inc. ($387).

Total Amount

$1,660

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,660

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2021-11-04

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
I20211104002282INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44118)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

What is the registry number for SHAKELE BROWN?
The registry entry for SHAKELE BROWN shows NPI 1316614936.
Should I treat SHAKELE BROWN as an active provider?
Patients and plans typically see SHAKELE BROWN as active in the national extract.
What type of care does SHAKELE BROWN provide?
SHAKELE BROWN's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to SHAKELE BROWN?
The directory associates SHAKELE BROWN with South Euclid, Ohio. Check all listed addresses for suites or satellite offices.
Can I export SHAKELE BROWN's record?
You can download the official NPPES record; we summarize key fields for readability.

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