Individual provider Active NPI

Shane Maurice Carswell, APRN/PSYCH

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1407367303
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9338546 Issued in FL
Practice address
1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone
(855) 501-1004
NPI assigned
Oct 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9338546 FL Primary
Family Nurse Practitioner 363LF0000X APRN21345 SC
Family Nurse Practitioner 363LF0000X APRN9338546 FL

Addresses

Primary practice location

1540 Citrus Medical CT
Ocoee, FL 34761-4547

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (954) 431-9838

Other practice location 1

2010 NW 150th Ave Ste 120
Pembroke Pines, FL 33028-2888
Phone (954) 431-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180703003094 SC Practitioner - Nurse Practitioner 8224384276
I20180927000599 FL Practitioner - Nurse Practitioner 8224384276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindpath Health Florida, PLLCGroup PAC ID 7517858285, 52 clinicians

Practice addresses (Care Compare)

1540 Citrus Medical CT
Ocoee, FL 34761-4547
Phone (407) 602-7168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN21345SCMDFamily Nurse Practitioner
APRN9338546FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies 4 Kids, Inc. Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Mindpath Health Florida, PLLC Psychiatric/Mental Health CurrentSince Jan 5, 2023 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

7000 W Palmetto Park Rd
Ste 407
Boca Raton, FL 33433
Phone (954) 227-2700

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

1572 Citrus Medical Ct
Ocoee, FL 34761

1540 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 245-8501

1311 N Palm Ave
Pembroke Pines, FL 33026
Phone (954) 780-6093

2010 NW 150th Ave
Ste 120
Pembroke Pnes, FL 33028
Phone 9544319838114

Interoperability endpoints

  • Direct secure messaging: mpfl.shanecarswell@150275.advancedmd-direct.com

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1407367303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CITRUS MEDICAL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614547",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 NW 150th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330282888",
            "country_code": "US",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSWELL",
        "first_name": "SHANE",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "APRN/PSYCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9338546",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APRN21345",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9338546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.