Individual provider Active NPI

Shannon K Stuckert, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1467020677
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013922 Issued in FL
Practice address
15320 Amberly Dr Ste a
Tampa, FL 33647-1647
Phone
(813) 977-2090
Fax
(813) 977-9107
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 APRN11013922 FL Primary

Addresses

Primary practice location

15320 Amberly Dr Ste a
Tampa, FL 33647-1647

Mailing address

15320 Amberly Dr Ste a
Tampa, FL 33647-1647
Phone (813) 977-2090

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
I20210719002068 FL Practitioner - Nurse Practitioner 6901209618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

Hospital & facility affiliations

  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702

Merit-based Incentive Payment System (MIPS)

Final score
79.1 of 100Reported as group
Quality
35.98
Promoting interoperability
100
Improvement activities
40
Cost
61.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Practitioner Services LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Brandon-Riverview Medical Associates PA CurrentSince Oct 1, 2022 Accepting new patients
Access Health Care Physicians LLC CurrentSince Jul 1, 2021 Accepting new patients
Cardiac Vision LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

519 E Bloomingdale Ave
Ste A
Brandon, FL 33511
Phone (813) 655-4100

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

5500 Little Rd
New Prt Rchy, FL 34655
Phone (727) 372-1005

13111 US Highway 301 S
Riverview, FL 33578
Phone (813) 671-0064

120 Medical Blvd
Ste 102
Spring Hill, FL 34609
Phone (352) 515-6944

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

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.

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1467020677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 AMBERLY DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471647",
            "telephone_number": "813-977-2090",
            "fax_number": "813-977-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 AMBERLY DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471647",
            "telephone_number": "813-977-2090",
            "fax_number": "813-977-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKERT",
        "first_name": "SHANNON",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.