VERNON ALLEN SHAW (CCC-A) – Audiologist, NPI 1700866506
Audiologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VERNON ALLEN SHAW (CCC-A)
775 Waukegan Rd
Suite 200
Deerfield, IL 600154342
Phone: (800) 317-0711
Fax: (800) 434-7113
Type: Location
99, East 86th Avenue, Merrillville, Lake County, Indiana, 46410, United States
MERRILLVILLE, IN 464106381
Phone: (219) 738-2617
Fax: (219) 738-2145
Type: Location
99 E 86TH AVE STE A
MERRILLVILLE, IN 464106267
Phone: (219) 738-2528
Fax: (219) 738-2529
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-23
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 |
|---|---|---|---|---|
| I20100923000436 | I | Qualified Audiologist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60015)
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