Shannon Roxsanne Burgos, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11013994 Issued in FL

Practice address

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389

Phone

(352) 596-4660

Fax

(352) 596-4674

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Walk in Clinic,PLLCGroup PAC ID 7315194743, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Brooksville, FL, CCN 108449

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: sburgos253765@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA

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.

• Primary Care Walk in Clinic,PLLC

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1871866871
  Medicare reassignment Care Compare group NPD
• Idicula Medical Associates MD PA

  • Specialist
  • Brooksville, FL
  • NPI 1982781688
  Medicare reassignment NPD
• Gulf View Medical & Urgent Care Inc

  • Urgent Care Clinic/Center
  • New Port Richey, FL
  • NPI 1649423385
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• St Luke Heart Institute Inc

  • Specialist
  • Brooksville, FL
  • NPI 1528196847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the Southeast, LLC

  • Home Health Agency
  • Brooksville, FL
  • NPI 1750775003
  Care Compare affiliation

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1497326920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136389",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "SHANNON",
        "middle_name": "ROXSANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda W. Dillingham LMFT, LLC
• Bridging the Gap
• Bright Bridge Services LLC
• Andre M Brooks, M.D
• Brownstone Healthcare
• McKenzie Burns
• Diedre T Cagle, M.D.
• Care a Lot Transportation LLC
• Caring Companions LLC
• Jason A Caruso, PTA

• Family Nurse Practitioner in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.

Verify at the official NPI Registry.