Individual provider Active NPI

Shaun Corey Gamse, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1467089557
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006624 Issued in FL
Practice address
5010 S Florida Ave
Lakeland, FL 33813-2510
Phone
(863) 644-2411
Fax
(863) 607-4727
NPI assigned
Mar 26, 2020
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11006624 FL Primary

Addresses

Primary practice location

5010 S Florida Ave
Lakeland, FL 33813-2510

Mailing address

5010 S Florida Ave
Lakeland, FL 33813-2510
Phone (863) 644-2411

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
I20200915000864 FL Practitioner - Nurse Practitioner 5294153821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

5010 S Florida Ave
Lakeland, FL 33813-2510
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006624FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita R Cancio MD PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

5504 Gateway Blvd
Ste 102
Wesley Chapel, FL 33544
Phone (813) 251-8444

Organizations & group practices 2

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1467089557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132510",
            "telephone_number": "863-644-2411",
            "fax_number": "863-607-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132510",
            "telephone_number": "863-644-2411",
            "fax_number": "863-607-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMSE",
        "first_name": "SHAUN",
        "middle_name": "COREY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.