Active NPI
Shannon M Osorio, PA-C
- Physician Assistant
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105733
- Practice address
- 618 S Forest Ave
Apopka, FL 32703-5338 - Phone
- (407) 905-8827
- Fax
- (407) 886-3822
- NPI assigned
- Aug 25, 2009
- Last updated
- Oct 22, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105733 | FL | Primary |
Addresses
Primary practice location
618 S Forest Ave
Apopka, FL 32703-5338
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other names 1
- Shannon M Masse
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 N 14TH St
Adventhealth Centra Care Leesburg
Leesburg, FL 34748-3820
Phone (352) 314-2328
11550 University Blvd
Orlando, FL 32817-2100
Phone (407) 384-0080
12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273
1520 W Orange Blossom Trail
Adventhealth Centra Care Apopka
Apopka, FL 32712-2639
Phone (407) 703-4662
19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484
2301 Sand Lake Rd
Orlando, FL 32809-7639
Phone (407) 851-6478
250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810
2540 Lee Rd
Winter Park, FL 32789-1746
Phone (407) 629-9281
2609 S Orange Ave
Orlando, FL 32806-4547
Phone (407) 203-0656
2948 W Lake Mary Blvd
Adventhealth Centra Care Lake Mary
Lake Mary, FL 32746-3416
Phone (407) 732-7478
3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186
3099 Aloma Ave
Winter Park, FL 32792-3702
Phone (407) 951-6302
3293 Greenwald Way N
Adventhealth Centra Care Hunters Creek
Kissimmee, FL 34741-0772
Phone (407) 847-2796
4320 W Vine St
Adventhealth Centra Care Kissimmee
Kissimmee, FL 34746-6313
Phone (407) 390-1888
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412
4660 13TH St
Saint Cloud, FL 34769-6765
Phone (321) 805-4650
509 S Semoran Blvd
Orlando, FL 32807-4334
Phone (407) 200-2300
8010 Red Bug Lake Rd
Oviedo, FL 32765-8084
Phone (407) 977-3677
8201 W Irlo Bronson Hwy
Adventhealth Centra Care Orange Lake
Kissimmee, FL 34747-8202
Phone (407) 465-0846
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Adventist Health System /Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
Interoperability endpoints
- sosorio3797300@adventhealth.direct-ci.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.
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
dba AdventHealth Centra Care - Lakeland
- Urgent Care Clinic/Center
- Lakeland, FL
- NPI 1811520992
Physician Assistant
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1184857112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-886-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S FOREST AVE",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035338",
"telephone_number": "407-905-8827",
"fax_number": "407-886-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSORIO",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "MASSE",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.