Individual provider Active NPI

Mohammed Shoaib, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1215889647
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11045324 Issued in FL
Practice address
903 W Oak St
Kissimmee, FL 34741-4941
Phone
(407) 846-4000
NPI assigned
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11045324 FL Primary

Addresses

Primary practice location

903 W Oak St
Kissimmee, FL 34741-4941

Mailing address

903 W Oak St
Kissimmee, FL 34741-4941

Other practice location 1

3123 Innovation Dr
Saint Cloud, FL 34769-6501
Phone (407) 846-4000

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
I20260217003110 FL Practitioner - Nurse Practitioner 9638659741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

903 W Oak St
Kissimmee, FL 34741-4941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11045324FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma Allergy & Immunology PA CurrentSince Feb 5, 2026 Accepting new patients
Asthma Allergy and Immunology PastSince Feb 5, 2026 Accepting new patients

Locations

903 W Oak St
Kissimmee, FL 34741
Phone (407) 846-4000

3123 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 846-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1215889647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941",
            "telephone_number": "407-846-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3123 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696501",
            "country_code": "US",
            "telephone_number": "407-846-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOAIB",
        "first_name": "MOHAMMED",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.