SHANNON DEREAMUS (CRNP) – Nurse Practitioner, NPI 1295491306

SHANNON DEREAMUS (CRNP) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP024754 (PA). The NPI Number for SHANNON DEREAMUS (CRNP) is 1295491306

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON DEREAMUS (CRNP)
NPI
1295491306
Phone
(484) 526-2894
Address
801 OSTRUM ST
Enumeration Date
12 November 2021
Last Update Date
12 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4845267850
Graduation Year
2021 (5 years ago)
PAC ID
4385098698
Group Practice PAC ID
0648189688
Professional Enrollment ID
I20230920002385
Address ID
PA180919662WI487XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for SHANNON DEREAMUS (CRNP)

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone: (484) 526-2894

    Type: Mailing

  • 575 S 9TH ST STE 7

    LEHIGHTON, PA 182352517

    Phone: (570) 645-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920002385INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 18015)

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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: 0648189688View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
Preventive MedicinePA
Nurse PractitionerPA
Physician AssistantPA
-PA
Family Practice, Geriatric MedicinePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do payers reference SHANNON DEREAMUS (CRNP)?
For SHANNON DEREAMUS (CRNP), use NPI 1295491306 as the unique 10-digit identifier.
Is SHANNON DEREAMUS (CRNP) shown as active in public data?
Registry records indicate SHANNON DEREAMUS (CRNP) maintains an active NPI.
What clinical focus is listed for SHANNON DEREAMUS (CRNP)?
At a glance, SHANNON DEREAMUS (CRNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANNON DEREAMUS (CRNP)?
Travel planning: use Bethlehem, Pennsylvania as the reference point for SHANNON DEREAMUS (CRNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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