Individual provider Active NPI

Elena Shumsky, NP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1427224237
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP881059 Issued in FL
Practice address
422 S Alafaya TRL Ste 26
Orlando, FL 32828-8984
Phone
(407) 538-3855
NPI assigned
May 1, 2008
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP881059 FL Primary

Addresses

Primary practice location

422 S Alafaya TRL Ste 26
Orlando, FL 32828-8984

Mailing address

7560 Red Bug Lake Rd Ste 1014
Oviedo, FL 32765-6591
Phone (407) 706-1770

Other practice location 1

7560 Red Bug Lake Rd Ste 1014
Oviedo, FL 32765-6591
Phone (407) 706-1770

Other practice location 2

4970 S US Highway 17/92
Casselberry, FL 32707-3888
Phone (407) 635-8012

Other practice location 3

731 Stirling Center Pl Unit 1931
Lake Mary, FL 32746-5209
Phone (407) 436-7375

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
I20080915000617 FL Practitioner - Nurse Practitioner 1557438652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Surgery Center, LLCGroup PAC ID 3779866579, 10 clinicians

Practice addresses (Care Compare)

422 S Alafaya TRL
Suite 26
Orlando, FL 32828-8984
Phone (407) 538-3855

7560 Red Bug Lake Rd
Suite 1014
Oviedo, FL 32765-6591
Phone (407) 706-1770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP881059FLMDNurse Practitioner

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dermatologyandskincancercenter.elenashumsky@140478.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1427224237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 RED BUG LAKE RD STE 1014",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656591",
            "telephone_number": "407-706-1770",
            "fax_number": "407-706-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S ALAFAYA TRL STE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288984",
            "telephone_number": "407-538-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7560 Red Bug Lake Rd Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656591",
            "country_code": "US",
            "telephone_number": "407-706-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 S US Highway 17/92",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327073888",
            "country_code": "US",
            "telephone_number": "407-635-8012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Stirling Center Pl Unit 1931",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465209",
            "country_code": "US",
            "telephone_number": "407-436-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMSKY",
        "first_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP881059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.