Individual provider Active NPI

Shealyn Patricia Fitzpatrick, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1053097030
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11034385 Issued in FL
Practice address
1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone
(407) 380-8705
Fax
(407) 643-2804
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11034385 FL
Adult Health Nurse Practitioner 363LA2200X APRN11034385 FL Primary

Addresses

Primary practice location

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737

Mailing address

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone (407) 380-8705

Other practice location 1

60 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

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
I20240820002667 FL Practitioner - Nurse Practitioner 8729526876 Reassigns benefits to 1 organization

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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1900 N Alafaya TRL
Suite 900
Orlando, FL 32826-4737
Phone (407) 380-8705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034385FLMDAdult Health Nurse Practitioner
11034385FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

60 Columbia St
Orlando, FL 32806
Phone (407) 515-2420

1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705

60 Columbia St
Ste 400
Orlando, FL 32806

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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 4

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1053097030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-380-8705",
            "fax_number": "407-643-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-380-8705",
            "fax_number": "407-643-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061115",
            "country_code": "US",
            "telephone_number": "321-843-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SHEALYN",
        "middle_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034385",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.