SHELLY SPRINGER KINDAHL (PA-C) – Medical Physician Assistant, NPI 1588922918
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,214 PHYSICIAN ASSISTANT in AL
Provider Addresses for SHELLY SPRINGER KINDAHL (PA-C)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
2471 HELTON DR
FLORENCE, AL 356301067
Phone: (256) 765-2000
Fax: (256) 765-2001
Type: Location
220 French Farms Blvd Ste C
Athens, AL 356114361
Phone: (256) 233-2000
Fax: (256) 765-2001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $791.
Total Amount is formed as General ($791) + Research ($0) + Ownership ($0) = $791.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($425).
Total Amount
$791
General + Research + Ownership
Payments
38
Total payment records
General Amount
$791
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $425 |
| E.R. Squibb & Sons, L.L.C. | $141 |
| Amgen Inc. | $73 |
| Novartis Pharmaceuticals Corporation | $31 |
| Galderma Laboratories, L.P. | $29 |
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: 2012-06-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20120620000450 | I | Physician Assistant | AL | 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 | 885 | 226 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 537 | 462 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 373 | 332 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 230 | 220 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 197 | 189 | $0 |
Insurance plans in this area (ZIP 54220)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AL | |
| - | WI | |
| Physician Assistant | VA | |
| Physician Assistant | AL | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI |
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