DR. KRISTY MELISSA SHINE (MD, PHD) – Emergency Medicine Physician, NPI 1184043150

DR. KRISTY MELISSA SHINE (MD, PHD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. MD459017 (PA). The NPI Number for DR. KRISTY MELISSA SHINE (MD, PHD) is 1184043150

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTY MELISSA SHINE (MD, PHD)
NPI
1184043150
Phone
(267) 324-7253
Address
2 SURGEON GENERALS CT
Enumeration Date
7 April 2014
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
2159556844
Graduation Year
2014 (12 years ago)
PAC ID
8921343807
Group Practice PAC ID
7911819180
Professional Enrollment ID
I20181220002509
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for DR. KRISTY MELISSA SHINE (MD, PHD)

  • 2 SURGEON GENERALS CT

    PHILADELPHIA, PA 191465202

    Phone: (267) 324-7253

    Type: Mailing

  • 1020 SANSOM ST STE 239

    PHILADELPHIA, PA 191075002

    Phone: (267) 324-7253

    Type: Location

  • 1020 Sansom St Ste 239

    Philadelphia, PA 191075002

    Phone: (267) 324-7253

    Type: Location

  • 770 KAPIOLANI BLVD STE 705

    HONOLULU, HI 968135241

    Phone: (808) 597-8799

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: ABBVIE INC. ($91).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$91
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: 2022-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181220002509IEmergency MedicinePATBD
I20220609002534IEmergency MedicineHITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making172169$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only161152$0
99291Critical care, first 30-74 minutes7070$0
99284Emergency department visit with moderate level of medical decision making5655$0
71045X-ray of chest, 1 view3636$0
View full utilization report →

Insurance plans in this area (ZIP 19146)

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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: 7911819180View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. KRISTY MELISSA SHINE (MD, PHD)?
The federal identifier for DR. KRISTY MELISSA SHINE (MD, PHD) is NPI 1184043150.
Does this profile mean DR. KRISTY MELISSA SHINE (MD, PHD) is currently active?
Yes — DR. KRISTY MELISSA SHINE (MD, PHD) appears active in the national provider directory.
Does DR. KRISTY MELISSA SHINE (MD, PHD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. KRISTY MELISSA SHINE (MD, PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KRISTY MELISSA SHINE (MD, PHD)?
The page summarizes Philadelphia, Pennsylvania for DR. KRISTY MELISSA SHINE (MD, PHD); expand the address list for detail.
Is DR. KRISTY MELISSA SHINE (MD, PHD) a real provider?
This page reflects official NPPES data for NPI 1184043150. Always confirm identity and privileges with the practice and licensing boards.

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