MRS. SHAYNA SPEARMAN KIDD (FNP) – Family Nurse Practitioner, NPI 1629667613

MRS. SHAYNA SPEARMAN KIDD (FNP) is a healthcare provider. based in Fayetteville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1-126779 (AL). The NPI Number for MRS. SHAYNA SPEARMAN KIDD (FNP) is 1629667613

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAYNA SPEARMAN KIDD (FNP)
NPI
1629667613
Phone
(256) 655-4145
Address
146 BOONSHILL RD
Enumeration Date
13 January 2021
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882206432
Graduation Year
2020 (6 years ago)
PAC ID
4284033549
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20210519001200
Address ID
AL357582436MA20XXXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. SHAYNA SPEARMAN KIDD (FNP)

  • 146 BOONSHILL RD

    FAYETTEVILLE, TN 373346415

    Phone: (256) 655-4145

    Type: Mailing

  • 12935 HIGHWAY 231 431 N

    HAZEL GREEN, AL 357508631

    Phone: (256) 828-6766

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 259 Open Payments records for all available years, with a total value of $4,444.

Total Amount is formed as General ($4,444) + Research ($0) + Ownership ($0) = $4,444.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($536).

Total Amount

$4,444

General + Research + Ownership

Payments

259

Total payment records

General Amount

$4,444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-05-19

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
I20210519001200INurse PractitionerALTBD

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 minutes208114$0
J1100Injection, dexamethasone sodium phosphate, 1 mg8820$0
81003Automated urinalysis test7060$0
G0444Annual depression screening, 5 to 15 minutes5555$0
G0442Annual alcohol misuse screening, 5 to 15 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 37334)

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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: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

Does MRS. SHAYNA SPEARMAN KIDD (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. SHAYNA SPEARMAN KIDD (FNP) uses 1629667613.
Is MRS. SHAYNA SPEARMAN KIDD (FNP) still practicing?
MRS. SHAYNA SPEARMAN KIDD (FNP) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. SHAYNA SPEARMAN KIDD (FNP)?
For research purposes, treat MRS. SHAYNA SPEARMAN KIDD (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. SHAYNA SPEARMAN KIDD (FNP)?
MRS. SHAYNA SPEARMAN KIDD (FNP)'s geographic hint is Fayetteville, Tennessee in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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