Active NPI
Paul Austin Shutter, APRN
- Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11015180
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- Fax
- (813) 974-0483
- NPI assigned
- Nov 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11015180 | FL | Primary |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone (813) 684-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119144900 | Medicaid | FL | |
| QGK8V | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17222 Hospital Blvd
Suite 242
Brooksville, FL 34601-8925
Phone (352) 544-6145
Hospital & facility affiliations
- Tampa General Hospital Brooksville
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Heart Care Consultants | Current | Accepting new patients | |
| Bay Area Cardiology Assoc. PA | Past | Accepting new patients | |
| Tampa General Medical Group Inc | Past | Accepting new patients |
Locations
17222 Hospital Blvd
Ste 242
Brooksville, FL 34601
Phone (352) 544-6145
6310 Health Park Way
Ste 120
Lakewood Ranch, FL 34202
Phone (941) 907-8951
9423 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 907-8951
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDCGCD
- pshutter245466@direct.tgh.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.747353
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104
Organizations & group practices 8
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- Cardiovascular Disease Physician
- Lakewood Ranch, FL
- NPI 1285870105
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Internal Medicine Physician
- Trinity, FL
- NPI 1962819250
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Specialist
- Brandon, FL
- NPI 1336184746
-
- Family Medicine Physician
- Tampa, FL
- NPI 1164769063
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1376200691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
}
],
"practiceLocations": [
{
"address_1": "635 Eichenfeld Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115908",
"country_code": "US",
"telephone_number": "813-684-6000",
"fax_number": "813-654-9032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUTTER",
"first_name": "PAUL",
"middle_name": "AUSTIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11015180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119144900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "QGK8V",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.