Individual provider Active NPI

Katrina Shanell General, APRN

  • Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1053156141
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11033492 Issued in FL
Practice address
270 Plaza Blvd Ste B5B6
Saint Augustine, FL 32086-9305
Phone
(904) 819-5150
Fax
(904) 819-5152
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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 APRN11033492 FL Primary

Addresses

Primary practice location

270 Plaza Blvd Ste B5B6
Saint Augustine, FL 32086-9305

Mailing address

PO Box 100237
Gainesville, FL 32610-0237
Phone (352) 392-4541

Other names 1

  • Katrina Shanell Plant Former name

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
I20250403000445 FL Practitioner - Nurse Practitioner 0840713525 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
Telehealth
Offers telehealth services
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

270 Plaza Blvd
Suite B5 B6
Saint Augustine, FL 32086-9305
Phone (904) 819-5150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villages Regional Hospital Physician Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. Nurse Practitioner CurrentSince Apr 14, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. Past Accepting new patients

Locations

33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100

120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

270 Plaza Blvd
Ste B5B6
Saint Augustine, FL 32086
Phone (904) 819-5150

100 Whetstone Pl
Ste 105
St Augustine, FL 32086
Phone (904) 824-3777

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: kgeneral773274@direct.shands.ufl.edu

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1053156141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100237",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100237",
            "telephone_number": "352-392-4541",
            "fax_number": "352-294-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PLAZA BLVD STE B5B6",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320869305",
            "telephone_number": "904-819-5150",
            "fax_number": "904-819-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERAL",
        "first_name": "KATRINA",
        "middle_name": "SHANELL",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "PLANT",
            "middle_name": "SHANELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.