DAWN SHONTELL PATRICK (FNP) – Family Nurse Practitioner, NPI 1609234871
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAWN SHONTELL PATRICK (FNP)
4066 DUNNICA AVE
SAINT LOUIS, MO 631163510
Phone: (314) 749-3296
Type: Mailing
199 N FLORISSANT RD
FERGUSON, MO 631351976
Phone: (314) 449-9640
Fax: (314) 949-3437
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
199 N Florissant Rd
Ferguson, MO 631351976
Phone: (314) 449-9640
Fax: (314) 949-3437
Type: Location
4066 Dunnica Ave
Saint Louis, MO 631163510
Phone: (636) 224-1700
Fax: (314) 833-6159
Type: Location
14021 NEW HALLS FERRY RD
FLORISSANT, MO 630332763
Phone: (314) 839-0910
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,854.
Total Amount is formed as General ($1,854) + Research ($0) + Ownership ($0) = $1,854.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($438).
Total Amount
$1,854
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,854
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $438 |
| Alkermes, Inc. | $428 |
| Otsuka America Pharmaceutical, Inc. | $380 |
| Indivior Inc. | $233 |
| Janssen Pharmaceuticals, Inc | $150 |
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: 2019-03-18
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 |
|---|---|---|---|---|
| I20190318002274 | I | Nurse Practitioner | 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 63116)
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