SHADESIA NICHOLSON (FNP-C) – Family Nurse Practitioner, NPI 1043967284
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for SHADESIA NICHOLSON (FNP-C)
2245 HUMPHREYS DR
SUFFOLK, VA 234353455
Phone: (757) 582-8040
Type: Mailing
111 MEDICAL PKWY FL 3
CHESAPEAKE, VA 233200302
Phone: (757) 436-2424
Type: Location
515 NEWTOWN RD
VIRGINIA BEACH, VA 234625620
Phone: (757) 499-7526
Fax: (804) 355-5216
Type: Mailing
1181 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA 234542437
Phone: (757) 425-1600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($118).
Total Amount
$181
General + Research + Ownership
Payments
5
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $118 |
| Exeltis, USA Inc. | $31 |
| Organon LLC | $20 |
| MAYNE PHARMA COMMERCIAL LLC | $11 |
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: 2022-06-24
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 |
|---|---|---|---|---|
| I20220624002329 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 23435)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | NM | |
| Certified Nurse Midwife (Cnm) | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Certified Nurse Midwife (Cnm) | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.