Individual provider Active NPI

Kendall Sheffield, FNP-C

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1104653948
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035358 Issued in FL
Practice address
1950 Hospital View Way
Clermont, FL 34711-1926
Phone
(352) 243-3443
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035358 FL Primary

Addresses

Primary practice location

1950 Hospital View Way
Clermont, FL 34711-1926

Mailing address

601 S Nedderman Dr
Arlington, TX 76019-0001

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
I20241015000663 FL Practitioner - Nurse Practitioner 5991237018 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
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
South Lake Medical Center IncGroup PAC ID 2264521749, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2741 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone (352) 243-3443

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035358FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Medical Center Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

2741 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 717-0613

1950 Hospital View Way
Clermont, FL 34711
Phone (321) 274-1864

255 Citrus Tower Blvd
Ste 206
Clermont, FL 34711
Phone (352) 242-9600

Interoperability endpoints

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

Organizations & group practices 1

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 5

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1104653948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S NEDDERMAN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760190001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 HOSPITAL VIEW WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111926",
            "telephone_number": "352-243-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "KENDALL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.