Individual provider Active NPI

Shauna J Keys, ARNP

  • Family Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1306152558
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029426 Issued in FL
Practice address
3356 Canoe Creek Rd
Saint Cloud, FL 34772-6536
Phone
(407) 891-2992
Fax
(407) 891-2993
NPI assigned
Aug 26, 2010
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029426 FL Primary
Family Nurse Practitioner 363LF0000X 23235 SC
Family Nurse Practitioner 363LF0000X 3006595 KY

Addresses

Primary practice location

3356 Canoe Creek Rd
Saint Cloud, FL 34772-6536

Mailing address

3356 Canoe Creek Rd
Saint Cloud, FL 34772-6536
Phone (407) 891-2992

Other practice location 1

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909

Other identifiers 2

IdentifierTypeStateIssuer
7100136020MedicaidKY
000000834316OtherKYANTHEM

Other names 1

  • Shauna J Mack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101113000189 KY Practitioner - Nurse Practitioner 3779778980 Reassigns benefits to 2 organizations
I20211216002573 SC Practitioner - Nurse Practitioner 3779778980 Reassigns benefits to 1 organization
I20231228001153 FL Practitioner - Nurse Practitioner 3779778980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

3356 Canoe Creek Rd
Saint Cloud, FL 34772-6536
Phone (407) 891-2992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029426FLMDFamily Nurse Practitioner
3006595KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 27, 2022 Accepting new patients
Deaconess Clinic Inc CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Clinic, Inc. CurrentSince Jul 1, 2020 Accepting new patients
SC House Calls Inc CurrentSince Oct 27, 2022 Accepting new patients
Orlando Physicians Network Inc CurrentSince Feb 19, 2024 Accepting new patients
Methodist Health, Inc. Family CurrentSince Oct 1, 2015 Accepting new patients
Methodist Health, Inc. Family Current Accepting new patients
Deaconess Clinic, Inc Family Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

3356 Canoe Creek Rd
Saint Cloud, FL 34772
Phone (407) 891-2992

1355 US Highway 41A S
Dixon, KY 42409
Phone (270) 639-9101

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Ste 201
Henderson, KY 42420
Phone (270) 827-8662

2000 N Elm St
Ste 1A
Henderson, KY 42420
Phone (270) 844-8144

471 Klutey Park Plaza Dr
Henderson, KY 42420
Phone (270) 830-6100

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 9

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 1

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1306152558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726536",
            "telephone_number": "407-891-2992",
            "fax_number": "407-891-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726536",
            "telephone_number": "407-891-2992",
            "fax_number": "407-891-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SC House Calls Inc",
            "address_2": "111 Doctors Circle",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYS",
        "first_name": "SHAUNA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029426",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100136020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000834316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MACK",
            "middle_name": "J",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.