SHENANDOAH MEDICAL CARE CENTER – Primary Care Clinic/Center, NPI 1740608801

SHENANDOAH MEDICAL CARE CENTER is a healthcare provider. based in Boynton beach, Florida. specializing in Primary Care Clinic/Center. The organization holds a License No. 2602122 (FL). The NPI Number for SHENANDOAH MEDICAL CARE CENTER is 1740608801

Main info

Organization
Name
SHENANDOAH MEDICAL CARE CENTER
NPI
1740608801
Phone
(561) 853-7233
Address
6313 LANSDOWNE CIR
Authorized Official
MISS JOY L FULLER ARNP
Enumeration Date
4 April 2014
Last Update Date
4 April 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SHENANDOAH MEDICAL CARE CENTER

  • 6313 LANSDOWNE CIR

    BOYNTON BEACH, FL 334725108

    Phone: (561) 853-7233

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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
O20230712004163OClinic/Group PracticeFLTBD

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 33472)

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Reviews

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Frequently asked questions

What number should I use to identify SHENANDOAH MEDICAL CARE CENTER for billing?
Administrative and clinical systems typically use NPI 1740608801 for SHENANDOAH MEDICAL CARE CENTER.
Is SHENANDOAH MEDICAL CARE CENTER's NPI status active today?
Active status means SHENANDOAH MEDICAL CARE CENTER's NPI record is not deactivated in the public file.
What type of care does SHENANDOAH MEDICAL CARE CENTER provide?
SHENANDOAH MEDICAL CARE CENTER's profile centers on Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to SHENANDOAH MEDICAL CARE CENTER?
SHENANDOAH MEDICAL CARE CENTER shows a connection to Boynton Beach, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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