Individual provider Active NPI

Shannon M Osorio, PA-C

  • Physician Assistant
  • Apopka, FL
National Provider Identifier
1184857112
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105733 Issued in FL
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20131112001009 FL Practitioner - Physician Assistant 4183850647 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 7, 2024 Accepting new patients
Adventist Health System /Sunbelt, Inc. Physician Assistant CurrentSince Aug 7, 2024 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.