SHANNON COULSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295237477
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON COULSON (NP)
4106 PORTSMOUTH BLVD # 303
PORTSMOUTH, VA 237012968
Phone: (757) 393-1136
Fax: (757) 698-2499
Type: Mailing
860, Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States
303
NEWPORT NEWS, VA 236061409
Phone: (757) 232-8769
Type: Mailing
Bon Secours DePaul Medical Center, 150, Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States
NORFOLK, VA 235054602
Phone: (757) 681-6634
Type: Location
4901 COLLEY AVE
NORFOLK, VA 235082067
Phone: (757) 239-5858
Fax: (757) 231-6736
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Alkermes, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $17 |
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: 2018-05-31
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 |
|---|---|---|---|---|
| I20180531000321 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | AZ | |
| H O S P I T A L I S T | VA | |
| - | VA | |
| - | VA | |
| - | VA |
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