MRS. SHAWN RENEA SMALL SANDERS (ANPBC) – Nurse Practitioner, NPI 1902061930

MRS. SHAWN RENEA SMALL SANDERS (ANPBC) is a healthcare provider. based in Fredericksburg, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials ANPBC. They hold a License No. 0024167547 (VA). The NPI Number for MRS. SHAWN RENEA SMALL SANDERS (ANPBC) is 1902061930

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAWN RENEA SMALL SANDERS (ANPBC)
NPI
1902061930
Phone
(540) 741-1323
Address
1000 SAM PERRY BLVD
Enumeration Date
18 July 2008
Last Update Date
9 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8557399953
Graduation Year
2007 (19 years ago)
PAC ID
9739365990
Group Practice PAC ID
5890926075
Professional Enrollment ID
I20110524000259
Address ID
VA224018439FR1011XWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for MRS. SHAWN RENEA SMALL SANDERS (ANPBC)

  • 1000, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    MARY WASHINGTON HOSPITAL

    FREDERICKSBURG, VA 22406

    Phone: (540) 741-1323

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $608.

Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($182).

Total Amount

$608

General + Research + Ownership

Payments

17

Total payment records

General Amount

$608

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110524000259INurse PractitionerVATBD

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 22406)

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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: 5890926075View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantVA
Nurse PractitionerVA
Cardiovascular Disease (Cardiology)VA
Nurse PractitionerVA
Interventional Cardiology, Internal MedicineMD
Physician AssistantVA
Vascular Surgery, General SurgeryVA
Cardiovascular Disease (Cardiology), Internal MedicineVA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)OR

Reviews

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Frequently asked questions

What federal number belongs to MRS. SHAWN RENEA SMALL SANDERS (ANPBC)?
The federal identifier for MRS. SHAWN RENEA SMALL SANDERS (ANPBC) is NPI 1902061930.
Does this profile mean MRS. SHAWN RENEA SMALL SANDERS (ANPBC) is currently active?
Yes — MRS. SHAWN RENEA SMALL SANDERS (ANPBC) appears active in the national provider directory.
Does MRS. SHAWN RENEA SMALL SANDERS (ANPBC) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. SHAWN RENEA SMALL SANDERS (ANPBC). Clinical services aligned with this taxonomy classification.
Where is MRS. SHAWN RENEA SMALL SANDERS (ANPBC)'s primary listing?
We display Fredericksburg, Virginia because that is what the record indicates for MRS. SHAWN RENEA SMALL SANDERS (ANPBC).
How can I contact MRS. SHAWN RENEA SMALL SANDERS (ANPBC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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