Active NPI
Shelly-Ann Commock
- Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9248727
- Practice address
- 9555 SW 162ND Ave
Miami, FL 33196-6408 - Phone
- (786) 467-2159
- NPI assigned
- Sep 9, 2016
- Last updated
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9248727 | FL | Primary |
Addresses
Primary practice location
9555 SW 162ND Ave
Miami, FL 33196-6408
Mailing address
PO Box 198054
Atlanta, GA 30384-4511
Phone (786) 594-6880
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SHELLYAC@cerner.directbaptisthealth.com |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9248727 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Nurse Practitioner | Current | Accepting new patients |
| Interdisciplinary Healthcare Services LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Physicians LLC | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240
Interoperability endpoints
- scommock87816@direct.med.miami.edu
- shellyac@cerner.directbaptisthealth.com
Organizations & group practices 5
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.
-
- Specialist
- Miami, FL
- NPI 1891893343
-
- Assisted Living Facility
- Miami, FL
- NPI 1679062814
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Nurse Practitioner
-
dba UMiami Medicine - Community Health Delivery System (CHDS)
- Internal Medicine Physician
- Miami, FL
- NPI 1912956566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1467909127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844511",
"telephone_number": "786-594-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW 162ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966408",
"telephone_number": "786-467-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMOCK",
"first_name": "SHELLY-ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9248727",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SHELLYAC@cerner.directbaptisthealth.com",
"affiliation": "N",
"address_1": "9555 SW 162nd Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331966408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.