MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) – Adult Medicine Physician, NPI 1891798047

MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) is a healthcare provider. based in Collegedale, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APN5567 (TN). The NPI Number for MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) is 1891798047

Main info

Female
28 Years Of Experience
Name
MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)
NPI
1891798047
Phone
(423) 778-9701
Address
PO BOX 891
Enumeration Date
23 May 2005
Last Update Date
20 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238945005
Graduation Year
1998 (28 years ago)
PAC ID
9830288646
Group Practice PAC ID
9335221902
Professional Enrollment ID
I20071201000134
Address ID
TN374113902CH4929XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)

  • PO BOX 891

    COLLEGEDALE, TN 373150891

    Phone: (423) 778-9701

    Type: Mailing

  • Ooltewah Pediatrician, Apison Pike, Four Corners, Collegedale, Hamilton County, East Tennessee, Tennessee, 37363, United States

    OOLTEWAH, TN 373634340

    Phone: (423) 778-9701

    Fax: (423) 778-9713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $1,763.

Total Amount is formed as General ($1,763) + Research ($0) + Ownership ($0) = $1,763.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($599).

Total Amount

$1,763

General + Research + Ownership

Payments

109

Total payment records

General Amount

$1,763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2007-12-01

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
I20071201000134INurse 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
36415Insertion of needle into vein for collection of blood sample714346$0
99213Established patient office or other outpatient visit, 20-29 minutes669405$0
J1100Injection, dexamethasone sodium phosphate, 1 mg543116$0
99214Established patient office or other outpatient visit, 30-39 minutes527317$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count510304$0
View full utilization report →

Insurance plans in this area (ZIP 37315)

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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: 9335221902View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

What is the standard ID for MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) in the U.S.?
In the U.S., MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) is identified by NPI 1891798047.
Is MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)'s NPI status active today?
Active status means MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)?
NPPES ties MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) to Adult Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)?
MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C) is associated with Collegedale, Tennessee in the same public data insurers reference.
Who maintains MRS. CYNTHIA FERNANDEZ SHAFFER (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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