HEATHER M SHOUP (CNP) – Gerontology Nurse Practitioner, NPI 1407251523
Gerontology Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for HEATHER M SHOUP (CNP)
2350 MIAMI VALLEY DR STE 500
DAYTON, OH 454594780
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
6680 POE AVE
SUITE 200
DAYTON, OH 454142854
Phone: (937) 280-8400
Fax: (937) 280-8373
Type: Mailing
9000 N Main St Ste 200
Englewood, OH 454151165
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
6680 POE AVE STE 200
DAYTON, OH 454142855
Phone: (937) 280-8400
Fax: (937) 280-8373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $2,212.
Total Amount is formed as General ($2,212) + Research ($0) + Ownership ($0) = $2,212.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($372).
Total Amount
$2,212
General + Research + Ownership
Payments
81
Total payment records
General Amount
$2,212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20141226000210 | I | Nurse Practitioner | OH | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 355 | 332 | $0 |
| 81003 | Automated urinalysis test | 332 | 312 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 210 | 192 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 172 | $0 |
| 51741 | Electronic assessment of bladder emptying | 20 | 20 | $0 |
Insurance plans in this area (ZIP 45459)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | OH | |
| Radiation Oncology | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| U R O L O G Y | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| U R O L O G Y | OH |
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