Individual provider Active NPI

Shephali Patel, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1154870186
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9347429 Issued in FL
Practice address
708 Cypress Green Cir
Wellington, FL 33414-6337
Phone
(609) 647-0711
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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 ARNP9347429 FL Primary

Addresses

Primary practice location

708 Cypress Green Cir
Wellington, FL 33414-6337

Mailing address

708 Cypress Green Cir
Wellington, FL 33414-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170530001091 FL Practitioner - Nurse Practitioner 8628345451 Reassigns benefits to 2 organizations
I20230125000133 GA Practitioner - Nurse Practitioner 8628345451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Cardiovascular Institute, LLCGroup PAC ID 6002803020, 43 clinicians

Practice addresses (Care Compare)

7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6953
Phone (904) 493-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9347429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Consultants LLC CurrentSince Jun 1, 2019 Accepting new patients
First Coast Cardiovascular Institute LLC CurrentSince Sep 19, 2022 Accepting new patients
First Coast Cardiovascular Institute, LLC CurrentSince Sep 19, 2022 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Past Accepting new patients

Locations

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

927 45th St
Ste 201
Mangonia Park, FL 33407
Phone (561) 881-8800

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

1465 Kingsley Ave
Orange Park, FL 32073
Phone (904) 644-0092

3345 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 366-6777

3502 Kyoto Gardens Dr
Ste A
Palm Beach Gardens, FL 33410
Phone (561) 622-6500

5305 Greenwood Ave
Ste 204
West Palm Beach, FL 33407
Phone (561) 832-8886

2600 Wildwood Dr
Brunswick, GA 31520
Phone (912) 466-5200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1154870186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CYPRESS GREEN CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CYPRESS GREEN CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146337",
            "telephone_number": "609-647-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHEPHALI",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9347429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.