Individual provider Active NPI

Shreya Patel, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1417462680
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9297966 Issued in FL
Practice address
3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Phone
(813) 855-2900
Fax
(813) 855-2990
NPI assigned
Dec 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 APRN9297966 FL Primary

Addresses

Primary practice location

3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013

Mailing address

3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Phone (813) 855-2900

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
I20180221000387 FL Practitioner - Nurse Practitioner 2163783895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms and Neuromuscular Center of Excellence LLCGroup PAC ID 1951619154, 6 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

3190 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2013
Phone (813) 855-2900

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP CurrentSince Jan 27, 2020 Accepting new patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Apr 4, 2018 Accepting new patients
Ms & Neuromuscular Center of Excellence LLC CurrentSince Aug 22, 2022 Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

3190 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 447-7786

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

3000 Medical Park Dr
Ste 500
Tampa, FL 33613
Phone (813) 615-7028

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shreya.patel.1@32973.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1417462680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "813-855-2900",
            "fax_number": "813-855-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "813-855-2900",
            "fax_number": "813-855-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9297966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.