Individual provider Active NPI

Shadia A Monos, APRN

  • Family Nurse Practitioner
  • Groveland, FL
National Provider Identifier
1043030125
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036418 Issued in FL
Practice address
558 E Waldo St
Groveland, FL 34736-2939
Phone
(786) 488-7838
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN9394925 FL
Family Nurse Practitioner 363LF0000X 11036418 FL Primary

Addresses

Primary practice location

558 E Waldo St
Groveland, FL 34736-2939

Mailing address

558 E Waldo St
Groveland, FL 34736-2939
Phone (786) 488-7838

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
I20241231001296 FL Practitioner - Nurse Practitioner 8921535063 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Inpatient Services LLCGroup PAC ID 7810361524, 21 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9394925FLMDEmergency Registered Nurse
11036418FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Care Specialists LLC CurrentSince Dec 1, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Nov 1, 2025 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Nov 1, 2025 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Jan 1, 2025 Accepting new patients
Synergy Inpatient Services LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1043030125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E WALDO ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362939",
            "telephone_number": "786-488-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 E WALDO ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362939",
            "telephone_number": "786-488-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONOS",
        "first_name": "SHADIA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9394925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

Verify at the official NPI Registry.