WHITNEY NICOLE THOMAS SHAMP (P.A.- C) – Physician Assistant, NPI 1326281130
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WHITNEY NICOLE THOMAS SHAMP (P.A.- C)
232 S WOODS MILL RD STE 400E
CHESTERFIELD, MO 630173406
Phone: (314) 878-2888
Fax: (314) 576-8187
Type: Location
225 Baldwin Ave
Charlotte, NC 282043109
Phone: (704) 376-1605
Fax: (704) 335-8448
Type: Location
225, Baldwin Avenue, Colonial Heights, Midtown, Charlotte, Mecklenburg County, North Carolina, 28204, United States
CHARLOTTE, NC 282043109
Phone: (704) 376-1605
Fax: (704) 335-8448
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: 2020-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090808000144 | I | Physician Assistant | NC | TBD |
| I20190327002730 | I | Physician Assistant | SC | TBD |
| I20200518000506 | I | Physician Assistant | MO | 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 63017)
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