Individual provider Active NPI

Marisol Shelton, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1427888650
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11034438 Issued in FL
Practice address
5225 Tech Data Dr Ste 200
Clearwater, FL 33760-3133
Phone
(727) 223-1579
Fax
(813) 537-0536
NPI assigned
Aug 2, 2024
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11034438 FL Primary

Addresses

Primary practice location

5225 Tech Data Dr Ste 200
Clearwater, FL 33760-3133

Mailing address

4140 5TH Ave N Ste a
St Petersburg, FL 33713-6304
Phone (727) 223-1579

Other practice location 1

4140 5th Ave N Ste A
St Petersburg, FL 33713-6304
Phone (727) 223-1579

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
I20241011003866 FL Practitioner - Nurse Practitioner 9436681616

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

413 W Robertson St
Suite B
Brandon, FL 33511-5014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11034438FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfuel Mental Health, PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

5225 Tech Data Dr
Clearwater, FL 33760
Phone (727) 573-9444

4140 5th Ave N
#A
St Petersburg, FL 33713
Phone (727) 223-1579

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1427888650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 5TH AVE N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136304",
            "telephone_number": "727-223-1579",
            "fax_number": "813-537-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 TECH DATA DR STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603133",
            "telephone_number": "727-223-1579",
            "fax_number": "813-537-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 5th Ave N Ste A",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337136304",
            "country_code": "US",
            "telephone_number": "727-223-1579",
            "fax_number": "813-537-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARISOL",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11034438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.