MS. SHANEA NICOLE HINES (DNP, FNP) – Family Nurse Practitioner, NPI 1639531841
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MS. SHANEA NICOLE HINES (DNP, FNP)
400 US Highway 45 W
Humboldt, TN 383438503
Phone: (731) 784-7773
Fax: (731) 784-0001
Type: Location
70, Birch Hollow Lane, Jackson, Madison County, Tennessee, 38305, United States
JACKSON, TN 383051886
Phone: (731) 444-0850
Type: Mailing
705 MEDICAL PARK DR
HUMBOLDT, TN 383433034
Phone: (731) 784-2442
Fax: (731) 784-1000
Type: Location
100 CHERRYWOOD PL
JACKSON, TN 383051741
Phone: (731) 394-1145
Type: Location
705 Medical Park Dr
Humboldt, TN 383433034
Phone: (731) 784-2442
Fax: (731) 784-1000
Type: Location
15001 S 1st St
Milan, TN 383585132
Phone: (731) 613-2535
Fax: (731) 613-2534
Type: Location
176C W University Pkwy # C
Jackson, TN 383051616
Phone: (731) 660-6915
Fax: (731) 668-4557
Type: Location
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 $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($43).
Total Amount
$120
General + Research + Ownership
Payments
5
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $43 |
| ABBVIE INC. | $29 |
| Alkermes, Inc. | $29 |
| Exact Sciences Corporation | $19 |
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: 2016-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160802000735 | I | Nurse Practitioner | TN | 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 38343)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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