Individual provider Active NPI

Shana Gober, APRN

  • Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1194324715
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003418 Issued in FL
Practice address
6509 Wagon Trail St
Zephyrhills, FL 33541-2557
Phone
(513) 205-0824
NPI assigned
Oct 24, 2020
Last updated
Oct 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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 11003418 FL Primary

Addresses

Primary practice location

6509 Wagon Trail St
Zephyrhills, FL 33541-2557

Mailing address

6509 Wagon Trail St
Zephyrhills, FL 33541-2557

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
I20210316000367 FL Practitioner - Nurse Practitioner 4688080930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Integrated Rehabilitation LLCGroup PAC ID 6709162977, 11 clinicians

Practice addresses (Care Compare)

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982
Phone (813) 968-8777

750 Hayes Rd
Lutz, FL 33549-6109
Phone (813) 559-1500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003418FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Rehabilitation, LLC CurrentSince Jun 20, 2022 Accepting new patients
American Advanced Practice Network, P.C. Nurse Practitioner Past Accepting new patients

Locations

2813 Gulf To Bay Blvd
Clearwater, FL 33759

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1194324715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 WAGON TRAIL ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335412557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 WAGON TRAIL ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335412557",
            "telephone_number": "513-205-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBER",
        "first_name": "SHANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.