SALLY SHAVER – Family Nurse Practitioner, NPI 1336533272
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for SALLY SHAVER
25083 WATSON RANCH RD
MONTGOMERY, TX 773563577
Phone: (936) 689-6244
Type: Mailing
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 773404940
Phone: (936) 291-4547
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,137.
Total Amount is formed as General ($1,137) + Research ($0) + Ownership ($0) = $1,137.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($256).
Total Amount
$1,137
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-01-27
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 |
|---|---|---|---|---|
| I20160127001508 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 205 | 148 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 101 | 79 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 90 | 78 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 84 | 27 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 67 | 55 | $0 |
Insurance plans in this area (ZIP 77356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX |
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