SHONDA KAYE HAYMAKER (CNP) – Psychiatric/Mental Health Registered Nurse, NPI 1548428790
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
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Provider Addresses for SHONDA KAYE HAYMAKER (CNP)
624, Market Avenue North, Upper Downtown Canton Historic District, Canton, Stark County, Ohio, 44702, United States
CANTON, OH 447021017
Phone: (330) 875-5544
Fax: (330) 875-8150
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 268 Open Payments records for all available years, with a total value of $4,690.
Total Amount is formed as General ($4,690) + Research ($0) + Ownership ($0) = $4,690.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($822).
Total Amount
$4,690
General + Research + Ownership
Payments
268
Total payment records
General Amount
$4,690
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2013-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 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 |
|---|---|---|---|---|
| I20131219000203 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH |
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