Individual provider Active NPI

Shelley Hannah Fox, DNP, FNP-BC

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1255603817
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337096 Issued in NY
Practice address
146 Orange PL
Maitland, FL 32751-6531
Phone
(407) 389-2020
Fax
(407) 389-2021
NPI assigned
Jan 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 337096 NY Primary

Addresses

Primary practice location

146 Orange PL
Maitland, FL 32751-6531

Mailing address

146 Orange PL
Maitland, FL 32751-6531
Phone (407) 389-2020

Other practice location 1

54 New Hyde Park Rd
Garden City, NY 11530
Phone (516) 488-1313

Other practice location 2

3 School St
Glen Cove, NY 11542-2590
Phone (516) 646-3554

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
I20210826000251 FL Practitioner - Nurse Practitioner 4981850484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 S Orlando Ave
Suite 101
Winter Park, FL 32789-5543
Phone (407) 305-9195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boutique Dermatology LLC CurrentSince Sep 1, 2024 Accepting new patients
JS Healthcare, Inc CurrentSince Aug 16, 2023 Accepting new patients

Locations

201 N Lakemont Ave
Ste 2300
Winter Park, FL 32792
Phone (321) 444-6560

1400 S Orlando Ave
Ste 101
Winter Park, FL 32789
Phone (407) 296-3881

Interoperability endpoints

  • Direct secure messaging: sfox@dda.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1255603817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ORANGE PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516531",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ORANGE PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516531",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 New Hyde Park Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "11530",
            "country_code": "US",
            "telephone_number": "516-488-1313",
            "fax_number": "516-488-1368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 School St",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422590",
            "country_code": "US",
            "telephone_number": "516-646-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "SHELLEY",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-29",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.