THOMAS DANIEL SHIRLEY – Family Nurse Practitioner, NPI 1609218569

THOMAS DANIEL SHIRLEY is a healthcare provider. based in Dandridge, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 17807 (TN). The NPI Number for THOMAS DANIEL SHIRLEY is 1609218569

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS DANIEL SHIRLEY
NPI
1609218569
Phone
(865) 789-6506
Address
117 VERA LN
Enumeration Date
20 July 2013
Last Update Date
24 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655795080
Graduation Year
2013 (13 years ago)
PAC ID
5890938260
Group Practice PAC ID
2860305463
Professional Enrollment ID
I20130904000443
Address ID
TN378655364SE11546HWYX301

Contacts

Secure Messaging
shirley.thomas@covenanthealth.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

10,664 NURSE PRACTITIONER in TN

Provider Addresses for THOMAS DANIEL SHIRLEY

  • 117 VERA LN

    DANDRIDGE, TN 377256872

    Phone: (865) 789-6506

    Type: Mailing

  • 11546 CHAPMAN HWY

    SEYMOUR, TN 378655044

    Phone: (865) 578-5080

    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: 2013-09-04

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
I20130904000443INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes179107$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count177108$0
80053Blood test, comprehensive group of blood chemicals176107$0
36415Insertion of needle into vein for collection of blood sample16097$0
99213Established patient office or other outpatient visit, 20-29 minutes15392$0
View full utilization report →

Insurance plans in this area (ZIP 37725)

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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: 2860305463View full group profile
NameSpecialtyState
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Family PracticeTN
-TN
Physician AssistantTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do I look up THOMAS DANIEL SHIRLEY by NPI?
Use NPI 1609218569 when you need to reference THOMAS DANIEL SHIRLEY in forms, claims, or directories.
Is THOMAS DANIEL SHIRLEY active in the national directory?
THOMAS DANIEL SHIRLEY's public NPI profile is in an active state.
Can you summarize THOMAS DANIEL SHIRLEY's specialty in plain language?
Clinically, the directory lists THOMAS DANIEL SHIRLEY with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is THOMAS DANIEL SHIRLEY's primary listing?
We display Dandridge, Tennessee because that is what the record indicates for THOMAS DANIEL SHIRLEY.
What if Dandridge, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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