SHANDRA TYUS – Family Nurse Practitioner, NPI 1891296695

SHANDRA TYUS is a healthcare provider. based in Portsmouth, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024175913 (VA). The NPI Number for SHANDRA TYUS is 1891296695

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANDRA TYUS
NPI
1891296695
Phone
Not provided
Address
3629 KENNY LN
Enumeration Date
27 February 2018
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574362444
Graduation Year
2020 (6 years ago)
PAC ID
2860932027
Group Practice PAC ID
6406899251
Professional Enrollment ID
I20240928000044
Address ID
VA233202876CH1403XPKWY301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for SHANDRA TYUS

  • 3629, Kenny Lane, Churchland Square, Churchland, Portsmouth, Virginia, 23703, United States

    PORTSMOUTH, VA 237032612

    Phone:

    Type: Mailing

  • Greenbrier Tech Ctr II, 816, Greenbrier Circle, Chesapeake, Virginia, 23320, United States

    CHESAPEAKE, VA 233202642

    Phone: (757) 436-2444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $695.

Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: ABBVIE INC. ($367).

Total Amount

$695

General + Research + Ownership

Payments

32

Total payment records

General Amount

$695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2025-06-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240928000044INurse PractitionerVATBD
I20250625001704INurse PractitionerKYTBD

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 23703)

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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: 6406899251View full group profile
NameSpecialtyState
Nurse PractitionerVA
P S Y C H I A T R YVA
Clinical Social WorkerVA
Marriage And Family TherapistVA
Clinical PsychologistVA
Nurse PractitionerIN
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Can I cross-check SHANDRA TYUS using NPI 1891296695?
NPI 1891296695 belongs to SHANDRA TYUS; compare other details if you need extra assurance.
Is there an active status for SHANDRA TYUS?
For scheduling context, SHANDRA TYUS is shown as active in the registry.
What expertise is attributed to SHANDRA TYUS?
SHANDRA TYUS's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANDRA TYUS located near Portsmouth?
SHANDRA TYUS currently maps to Portsmouth, Virginia in this extract.
When was this NPI issued?
Enumeration for SHANDRA TYUS is noted as February 27, 2018 where the registry provides it.

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