Individual provider Active NPI

Shane Anthony Rignanese, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1477511400
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 53989 Issued in FL
Practice address
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone
(850) 383-3515
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 53989 FL Primary

Addresses

Primary practice location

1491 Governors Square Blvd
Tallahassee, FL 32301-3049

Mailing address

PO Box 15349
Tallahassee, FL 32317-5349
Phone (850) 383-3515

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shane.rignanese.p1@direct.capitalhealthplan.nextgenshare.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000859 FL Practitioner - Family Practice 5193859601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Plan, Inc,Group PAC ID 6406744077, 42 clinicians

Practice addresses (Care Compare)

1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 53989FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Plan, Inc, CurrentSince Jan 1, 1999 Accepting new patients

Locations

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1477511400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15349",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323175349",
            "telephone_number": "850-383-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 GOVERNORS SQUARE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013049",
            "telephone_number": "850-383-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGNANESE",
        "first_name": "SHANE",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 53989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shane.rignanese.p1@direct.capitalhealthplan.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1491 Governors Square Blvd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323013049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.