DR. SHAMOLIE NICOLE WYCKOFF (M.D.) – Pain Medicine Physician, NPI 1295872216
Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
153 PAIN MANAGEMENT in TN
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Provider Addresses for DR. SHAMOLIE NICOLE WYCKOFF (M.D.)
Old Hickory Boulevard, Old Hickory, Nashville, Davidson County, Tennessee, 37138, United States
#417
NASHVILLE, TN 372116503
Phone:
Type: Mailing
5651, Frist Boulevard, Travis, Nashville, Davidson County, Tennessee, 37076, United States
STE 712
HERMITAGE, TN 370762054
Phone: (615) 872-9966
Fax: (615) 872-9967
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: 2026-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180910000612 | I | Pain Management | GA | TBD |
| I20260312001143 | I | Physical Medicine And Rehabilitation | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37211)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | TN | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 56 | 36 |
| PAIN MANAGEMENT | TN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 90 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | MN | |
| - | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| N E U R O L O G Y | IL |
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