Individual provider Active NPI

Jaime Shumate, APRN

  • Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1184299703
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11012547 Issued in FL
Practice address
17644 Hamlin Blvd
Loxahatchee, FL 33470-2677
Phone
(931) 436-8055
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 APRN11012547 FL Primary

Addresses

Primary practice location

17644 Hamlin Blvd
Loxahatchee, FL 33470-2677

Mailing address

3347 S State Road 7 Ste 203
Wellington, FL 33449-8148
Phone (561) 635-6738

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
I20210917000110 FL Practitioner - Nurse Practitioner 1759788730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Partners PLGroup PAC ID 5890751929, 27 clinicians

Practice addresses (Care Compare)

3345 Burns Rd
Suite 105And306
Palm Beach Gardens, FL 33410-4324
Phone (561) 626-1881

Hospital & facility affiliations

  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Partners PL CurrentSince Jul 15, 2021 Accepting new patients
P&O Pediatric and Fetal Cardiology and Wellness LLC PastSince Aug 4, 2024 Accepting new patients

Locations

1200 S Main St
Ste 100A
Belle Glade, FL 33430
Phone (561) 996-8799

532 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3021

406 S Deane Duff Ave
Clewiston, FL 33440
Phone (561) 996-8799

11786 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 546-4215

3345 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 775-0335

3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900

3345 Burns Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 691-4439

4915 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 619-2346

3347 S State Road 7
Ste 203
Wellington, FL 33449
Phone (561) 793-1974

1500 N Dixie Hwy
Ste 104B
West Palm Beach, FL 33401
Phone (561) 790-8629

Interoperability endpoints

  • Direct secure messaging: jshumate20867@jupitermedicalcenter.direct-ci.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.

Hospital & facility affiliations 1

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1184299703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 S STATE ROAD 7 STE 203",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "561-635-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17644 HAMLIN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702677",
            "telephone_number": "931-436-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "JAIME",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.