GRADY SHUMWAY – Clinical Social Worker, NPI 1407242399

GRADY SHUMWAY is a healthcare provider. based in Blanding, Utah. specializing in CLINICAL SOCIAL WORKER. The NPI Number for GRADY SHUMWAY is 1407242399

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
GRADY SHUMWAY
NPI
1407242399
Phone
(435) 678-2992
Address
356 S MAIN ST
Enumeration Date
8 April 2015
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356782992
Graduation Year
2021 (5 years ago)
PAC ID
5991155368
Group Practice PAC ID
9638124910
Professional Enrollment ID
I20231227001796
Address ID
UT845113923BL735XX200X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:11State licenses:0Digital endpointsOther names

965 CLINICAL SOCIAL WORKER in UT

Provider Addresses for GRADY SHUMWAY

  • 356 S MAIN ST

    BLANDING, UT 845113830

    Phone: (435) 678-2992

    Fax: (435) 678-3116

    Type: Mailing

  • 735 S 200 W STE 1

    BLANDING, UT 845113923

    Phone: (435) 678-2992

    Fax: (435) 678-3116

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-12-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231227001796IClinical Social WorkerUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84511)

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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: 9638124910View full group profile
NameSpecialtyState
Clinical Social WorkerUT
-MA
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerUT

Reviews

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Frequently asked questions

Where can patients find GRADY SHUMWAY's NPI?
You can confirm GRADY SHUMWAY with NPI 1407242399; it appears in the national provider directory.
Does this profile mean GRADY SHUMWAY is currently active?
Yes — GRADY SHUMWAY appears active in the national provider directory.
Can you summarize GRADY SHUMWAY's specialty in plain language?
Clinically, the directory lists GRADY SHUMWAY with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place GRADY SHUMWAY?
The snapshot lists Blanding, Utah for GRADY SHUMWAY; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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