MS. LAKIMBERELY SHAJUAN WOOTEN (APRN) – Family Nurse Practitioner, NPI 1538881503
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 MS. LAKIMBERELY SHAJUAN WOOTEN (APRN)
1029 W 4TH ST
TYLER, TX 757013821
Phone: (903) 316-1932
Type: Mailing
123 N MAIN STREET
LONE STAR, TX 756682223
Phone: (903) 656-0633
Fax: (903) 656-0636
Type: Location
4002 TECHNOLOGY CTR
LONGVIEW, TX 756052697
Phone: (903) 247-0484
Fax: (903) 247-0485
Type: Mailing
2115 S BROADWAY AVE
TYLER, TX 757014214
Phone: (903) 907-7002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Novo Nordisk Inc ($56).
Total Amount
$101
General + Research + Ownership
Payments
6
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $56 |
| Paratek Pharmaceuticals, Inc. | $17 |
| ABBVIE INC. | $15 |
| Lilly USA, LLC | $13 |
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: 2022-10-06
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 |
|---|---|---|---|---|
| I20221006003438 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 103 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 39 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 26 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 21 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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