Individual provider Active NPI

Daniel Shawn Pitts, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1013702000
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11038306 Issued in FL
Practice address
6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone
(386) 546-3908
NPI assigned
Apr 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11038306 FL Primary

Addresses

Primary practice location

6500 W Newberry Rd
Gainesville, FL 32605-4309

Mailing address

135 Stokes Landing Rd
Palatka, FL 32177-8671
Phone (386) 546-3908

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
I20251015004358 FL Practitioner - Nurse Practitioner 0042707713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Community Health Services IncGroup PAC ID 0345463683, 54 clinicians
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

22385 Flora Parke Xing
Fernandina Beach, FL 32034-8000
Phone (904) 404-8641

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Sep 22, 2025 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Sep 22, 2025 Accepting new patients

Locations

22385 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 404-8641

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDJFCA/Endpoint/JDJFCA

Organizations & group practices 3

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": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1013702000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 STOKES LANDING RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778671",
            "telephone_number": "386-546-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054309",
            "telephone_number": "386-546-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "DANIEL",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11038306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.