DR. SHANE D JENSEN (MD) – Trauma Surgery Physician, NPI 1164585154
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
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Provider Addresses for DR. SHANE D JENSEN (MD)
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NORFOLK, VA 235010936
Phone: (757) 451-6266
Fax: (757) 451-6251
Type: Mailing
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
FORT SAM HOUSTON, TX 782344504
Phone: (210) 539-9582
Type: Location
Uss Ronald Reagan
CVN-76
FPO, AP 966162876
Phone: (619) 545-0246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Teleflex LLC ($120).
Total Amount
$120
General + Research + Ownership
Payments
2
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $120 |
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: 2015-10-30
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 |
|---|---|---|---|---|
| I20151030001845 | I | General Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| General Surgery | TN | |
| General Surgery | TX | |
| General Surgery, Critical Care (Intensivists) | TX | |
| General Surgery, Critical Care (Intensivists) | TX | |
| - | TX | |
| General Surgery | IL | |
| Nurse Practitioner | TX | |
| General Surgery | IN |
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