DELESA SHANA KAY WALDEN – Medical-Surgical Registered Nurse, NPI 1902413636
Medical-Surgical Registered Nurse
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DELESA SHANA KAY WALDEN
4016 Sun City Center Blvd
Sun City Center, FL 335735256
Phone: (813) 634-3301
Type: Location
1325 Lakeland Hills Blvd
Lakeland, FL 338054544
Phone: (813) 821-8034
Type: Location
1900 TOLBERT TER APT 104
CHESTER, VA 238362823
Phone: (954) 982-4985
Type: Mailing
200 MEDICAL PARK BLVD
PETERSBURG, VA 238059274
Phone: (804) 765-5000
Type: Location
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Type: Mailing
717 IMAR DR
SUN CITY CENTER, FL 335735368
Phone: (813) 634-3500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: ABBVIE INC. ($215).
Total Amount
$215
General + Research + Ownership
Payments
6
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $215 |
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: 2025-04-17
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 |
|---|---|---|---|---|
| I20250417003233 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33573)
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