Active NPI
Shannska Scott, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11001620
- Practice address
- 580 W 8TH St FL Ii5
Jacksonville, FL 32209-6533 - Phone
- (904) 244-9624
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11001620 | FL | Primary |
Addresses
Primary practice location
580 W 8TH St FL Ii5
Jacksonville, FL 32209-6533
Mailing address
580 W 8TH St FL Ii6
Jacksonville, FL 32209-6533
Phone (904) 244-9624
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3947 Salisbury Rd
Jacksonville, FL 32216-6115
Phone (904) 296-3533
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001620 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Single Specialty | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Wekiva Springs Center LLC | Single Specialty | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Single Specialty | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
580 W 8th St
Fl II6
Jacksonville, FL 32209
Phone (904) 244-9905
3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522
580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960
580 W 8th St
Fl II5
Jacksonville, FL 32209
Phone (904) 244-9624
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Single Specialty
-
- Psychiatry Physician
- Jacksonville, FL
- NPI 1558521823
Single Specialty
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1447710900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W 8TH ST FL II6",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W 8TH ST FL II5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHANNSKA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11001620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.