Active NPI
Shawn Nixon, APRN
- Primary Care Nurse Practitioner
- Windermere, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11023852
- Practice address
- 5151 Winter Garden Vineland Rd Ste 208
Windermere, FL 34786-6098 - Phone
- (407) 636-7802
- NPI assigned
- Mar 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026573 | OH | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11023852 | FL | Primary |
Addresses
Primary practice location
5151 Winter Garden Vineland Rd Ste 208
Windermere, FL 34786-6098
Mailing address
5151 Winter Garden Vineland Rd
Windermere, FL 34786-6098
Phone (407) 636-7802
Other practice location 1
5151 Winter Garden Vineland Rd Ste 208
Windermere, FL 34786-6098
Phone (407) 636-7802
Other practice location 2
7243 Della Dr
SteK
Orlando, FL 32819-5106
Phone (407) 381-7366
Other practice location 3
800 N Maitland Ave Ste 103
Maitland, FL 32751-4499
Phone (407) 660-7100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 Winter Garden Vineland Rd
Suite 208
Windermere, FL 34786-6098
Phone (407) 614-8320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026573 | OH | MD | Family Nurse Practitioner |
| APRN11023852 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Current | Accepting new patients | |
| Physician Associates LLC | Past | Accepting new patients |
Locations
800 N Maitland Ave
Maitland, FL 32751
Phone (407) 660-7100
800 N Maitland Ave
Ste 103
Maitland, FL 32751
Phone (407) 660-7011
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
7243 Della Dr
Ste K
Orlando, FL 32819
Phone (407) 370-8705
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
Interoperability endpoints
- shawn.nixon@cccl.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- Internal Medicine Physician
- Windermere, FL
- NPI 1356834592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1053949941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 WINTER GARDEN VINELAND RD",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866098",
"telephone_number": "407-636-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 WINTER GARDEN VINELAND RD STE 208",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866098",
"telephone_number": "407-636-7802"
}
],
"practiceLocations": [
{
"address_1": "5151 Winter Garden Vineland Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Windermere",
"state": "FL",
"postal_code": "347866098",
"country_code": "US",
"telephone_number": "407-636-7802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7243 Della Dr",
"address_2": "SteK",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195106",
"country_code": "US",
"telephone_number": "407-381-7366",
"fax_number": "321-203-4625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 N Maitland Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327514499",
"country_code": "US",
"telephone_number": "407-660-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIXON",
"first_name": "SHAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-28",
"last_updated": "2023-08-16",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026573",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11023852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.