Individual provider Active NPI

Shannon Marie Brown, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1184454852
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029522 Issued in FL
Practice address
14011 Beach Blvd Ste 120
Jacksonville, FL 32250-1695
Phone
(904) 223-6400
Fax
(904) 223-6420
NPI assigned
Aug 6, 2024
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11029522 FL
Family Nurse Practitioner 363LF0000X APRN11029522 FL Primary

Addresses

Primary practice location

14011 Beach Blvd Ste 120
Jacksonville, FL 32250-1695

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other names 1

  • Shannon Marie Kirkpatrick Former name

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
I20240903004369 FL Practitioner - Nurse Practitioner 5890234975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

14011 Beach Blvd
Suite 120
Jacksonville, FL 32250-1695
Phone (904) 223-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029522FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Aug 5, 2024 Accepting new patients
Physicians Group Services PA Nurse Practitioner CurrentSince Aug 5, 2024 Accepting new patients
Physicians Group Services PA Family Current Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

14011 Beach Blvd
Ste 120
Jacksonville Beach, FL 32250
Phone (904) 223-6400

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Interoperability endpoints

  • Direct secure messaging: shannon.brown.1@25110.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1184454852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501695",
            "telephone_number": "904-223-6400",
            "fax_number": "904-223-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11029522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KIRKPATRICK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.