Active NPI
Shephali Patel, MSN, ARNP, FNP-BC
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9347429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9347429 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiovascular Consultants LLC | Current | Accepting new patients | |
| First Coast Cardiovascular Institute LLC | Current | Accepting new patients | |
| First Coast Cardiovascular Institute, LLC | Current | 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
- https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4
- 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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1841307857
GA
-
- Cardiovascular Disease Physician
- West Palm Beach, FL
- NPI 1306329370
-
- Cardiac Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1013711498
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1659396133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.