MRS. SHELLEY L VELICKOFF (A.N.P.) – Dermatology Physician, NPI 1811246531
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for MRS. SHELLEY L VELICKOFF (A.N.P.)
1901 S UNION AVE
STE B3003
TACOMA, WA 984051702
Phone: (253) 572-2842
Fax: (253) 572-2856
Type: Mailing
124 SAGAMORE PKWY W.
WEST LAFAYETTE, IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 160 Open Payments records for all available years, with a total value of $2,170.
Total Amount is formed as General ($2,170) + Research ($0) + Ownership ($0) = $2,170.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($732).
Total Amount
$2,170
General + Research + Ownership
Payments
160
Total payment records
General Amount
$2,170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $732 |
| Janssen Biotech, Inc. | $544 |
| Incyte Corporation | $195 |
| ABBVIE INC. | $115 |
| Sun Pharmaceutical Industries Inc. | $88 |
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: 2021-07-12
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 |
|---|---|---|---|---|
| I20210712001728 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 658 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 322 | 244 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 254 | 200 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 198 | 159 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 82 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN |
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