MISS TERESA MARIE SHAFFER (CNP) – Adult Health Nurse Practitioner, NPI 1770092900
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MISS TERESA MARIE SHAFFER (CNP)
1039 Boardman Canfield Rd
Boardman, OH 445124211
Phone: (330) 271-8589
Fax: (330) 965-9325
Type: Location
2223 Niles Cortland Rd SE
Warren, OH 444843043
Phone: (330) 965-8760
Fax: (330) 469-9706
Type: Location
2525 E State St
Salem, OH 444609301
Phone: (330) 271-8614
Fax: (330) 525-9008
Type: Location
987, Boardman Canfield Road, Park View Estates, Boardman, Mahoning County, Ohio, 44512, United States
BOARDMAN, OH 445124222
Phone: (330) 965-8760
Fax: (330) 965-9325
Type: Mailing
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH, NH 038012864
Phone: (802) 909-2053
Type: Mailing
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 $70,783.
Total Amount is formed as General ($70,783) + Research ($0) + Ownership ($0) = $70,783.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($66,832).
Total Amount
$70,783
General + Research + Ownership
Payments
268
Total payment records
General Amount
$70,783
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
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $66,832 |
| ABBVIE INC. | $1,262 |
| E.R. Squibb & Sons, L.L.C. | $625 |
| GENZYME CORPORATION | $491 |
| Dermavant Sciences, Inc. | $209 |
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: 2018-05-03
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 |
|---|---|---|---|---|
| I20180503002507 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 201 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 119 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 64 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 44 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 58 | 57 | $0 |
Insurance plans in this area (ZIP 44512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | IN | |
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | NH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH |
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