SHELLEY FOGT – Family Nurse Practitioner, NPI 1861856015
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for SHELLEY FOGT
602 W REDSKIN TRL
WAPAKONETA, OH 458959349
Phone: (419) 738-5151
Type: Location
Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
LIMA, OH 458042800
Phone: (419) 998-4575
Fax: (419) 998-4586
Type: Mailing
106, East Elm Street, Lima, Allen County, Ohio, 45801, United States
LIMA, OH 458042803
Phone: (419) 226-5180
Fax: (419) 998-4517
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($146).
Total Amount
$631
General + Research + Ownership
Payments
38
Total payment records
General Amount
$631
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $146 |
| Novo Nordisk Inc | $104 |
| AstraZeneca Pharmaceuticals LP | $79 |
| Phathom Pharmaceuticals, Inc. | $62 |
| Exact Sciences Corporation | $57 |
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: 2017-03-20
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 |
|---|---|---|---|---|
| I20170320002639 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 54 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 45895)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OH | |
| - | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Colorectal Surgery (Proctology) | OH | |
| Physician Assistant | OH |
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