Individual provider Active NPI

Shelby Ann Malone, FNP-BC

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1427817311
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035248 Issued in FL
Practice address
5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4754
Phone
(407) 390-9431
NPI assigned
Mar 14, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 11035248 FL Primary

Addresses

Primary practice location

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4754

Mailing address

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4754
Phone (407) 390-9431

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
I20241127001956 FL Practitioner - Nurse Practitioner 3173058138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

4757 The Grove Dr
Suite 132
Windermere, FL 34786-8426
Phone (407) 200-2300

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4754
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035248FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Jun 30, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Nov 7, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Jun 30, 2025 Accepting new patients

Locations

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746
Phone (407) 390-9431

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

Interoperability endpoints

  • Direct secure messaging: smalone5344555@adventhealth.direct-ci.com

Organizations & group practices 4

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 2

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1427817311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464754",
            "telephone_number": "407-390-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464754",
            "telephone_number": "407-390-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.