Individual provider Active NPI

Shelly M Hamilton, APRN

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1013559061
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11004505 Issued in FL
Practice address
1111 NE 25TH Ave Ste 301
Ocala, FL 34470-5667
Phone
(352) 351-7000
Fax
(352) 236-8610
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11004505 FL Primary

Addresses

Primary practice location

1111 NE 25TH Ave Ste 301
Ocala, FL 34470-5667

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439

Other practice location 1

15932 E Highway 40
Silver Springs, FL 34488-5144
Phone (352) 625-7777

Other practice location 2

6588 SE 9th Pl
Ocala, FL 34472-7831
Phone (352) 274-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000029 FL Practitioner - Nurse Practitioner 9830522473 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Healthcare LLC CurrentSince Nov 6, 2019 Accepting new patients
Florida Medical Associates LLC CurrentSince Oct 10, 2022 Accepting new patients
Breen Health, LLC CurrentSince Nov 1, 2025 Accepting new patients
Florida Health Care LLC Past Accepting new patients
Thomas Internal Medicine, P.a. PastSince Oct 10, 2022 Accepting new patients

Locations

11392 E Highway 316
Fort Mc Coy, FL 32134
Phone (352) 236-0440

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

1111 NE 25th Ave
Ste 301
Ocala, FL 34470
Phone (352) 351-7000

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: shelly.hamilton@sl.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1013559061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 25TH AVE STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705667",
            "telephone_number": "352-351-7000",
            "fax_number": "352-236-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15932 E Highway 40",
            "address_purpose": "LOCATION",
            "city": "Silver Springs",
            "state": "FL",
            "postal_code": "344885144",
            "country_code": "US",
            "telephone_number": "352-625-7777",
            "fax_number": "352-625-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6588 SE 9th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344727831",
            "country_code": "US",
            "telephone_number": "352-274-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHELLY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.