SHANNON SUMMER PEMBERTON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346958279
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON SUMMER PEMBERTON (PMHNP)
143 PRIVATE DRIVE 11202 UNIT 3
CHESAPEAKE, OH 456197014
Phone: (304) 617-7999
Type: Mailing
6171 CHILDERS RD
BARBOURSVILLE, WV 255041227
Phone: (304) 733-5380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 189 Open Payments records for all available years, with a total value of $3,967.
Total Amount is formed as General ($3,967) + Research ($0) + Ownership ($0) = $3,967.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,255).
Total Amount
$3,967
General + Research + Ownership
Payments
189
Total payment records
General Amount
$3,967
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,255 |
| Alkermes, Inc. | $431 |
| JAZZ PHARMACEUTICALS INC. | $297 |
| Corium, LLC | $276 |
| Axsome Therapeutics, Inc. | $252 |
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: 2023-04-27
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 |
|---|---|---|---|---|
| I20230427000204 | I | Nurse Practitioner | WV | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 37 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 16 | $0 |
Insurance plans in this area (ZIP 45619)
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