DR. JACOB WESLEY SHULMISTER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1053060509

DR. JACOB WESLEY SHULMISTER (DPM) is a healthcare provider. based in Virginia beach, Virginia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0000967 (CO). The NPI Number for DR. JACOB WESLEY SHULMISTER (DPM) is 1053060509

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB WESLEY SHULMISTER (DPM)
NPI
1053060509
Phone
(757) 705-1821
Address
2412 WINDWARD SHORE DR
Enumeration Date
22 March 2022
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3037226864
Graduation Year
2022 (4 years ago)
PAC ID
4880109172
Group Practice PAC ID
6507977279
Professional Enrollment ID
I20250715004012
Address ID
CO802107005DE950XXAVEX401

Contacts

Main Contact
Denver
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:4State licenses:1Other names

257 PODIATRY in CO

Provider Addresses for DR. JACOB WESLEY SHULMISTER (DPM)

  • 2412 WINDWARD SHORE DR

    VIRGINIA BEACH, VA 234511732

    Phone: (757) 705-1821

    Type: Mailing

  • 1719 E 19TH AVE

    DENVER, CO 802181235

    Phone: (720) 754-6000

    Type: Location

  • 950 E HARVARD AVE STE 300

    DENVER, CO 802107005

    Phone: (303) 722-6864

    Fax: (303) 722-5113

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($221).

Total Amount

$406

General + Research + Ownership

Payments

11

Total payment records

General Amount

$406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2025-07-15

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
I20250715004012IPodiatryCOTBD

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 23451)

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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: 6507977279View full group profile
NameSpecialtyState
P O D I A T R YCO
P O D I A T R YCO

Reviews

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Frequently asked questions

Can I verify DR. JACOB WESLEY SHULMISTER (DPM) with an NPI only?
You can start verification with NPI 1053060509 for DR. JACOB WESLEY SHULMISTER (DPM), then check state licensing separately.
Can I rely on DR. JACOB WESLEY SHULMISTER (DPM) being an active provider?
As of the registry snapshot, DR. JACOB WESLEY SHULMISTER (DPM) is marked active.
What taxonomy line describes DR. JACOB WESLEY SHULMISTER (DPM)?
For research purposes, treat DR. JACOB WESLEY SHULMISTER (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JACOB WESLEY SHULMISTER (DPM) based?
DR. JACOB WESLEY SHULMISTER (DPM) is tied to Virginia Beach, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about DR. JACOB WESLEY SHULMISTER (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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