Individual provider Active NPI

Shannon Patricia Williams, APRN

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1548917537
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11018488 Issued in FL
Practice address
2330 N Wickham Rd Ste 12
Melbourne, FL 32935-8184
Phone
(321) 633-3278
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018488 FL Primary
Family Nurse Practitioner 363LF0000X 11018488 FL

Addresses

Primary practice location

2330 N Wickham Rd Ste 12
Melbourne, FL 32935-8184

Mailing address

1801 Lost Lake CT
Saint Cloud, FL 34771-8814
Phone (561) 351-7057

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
I20221015000140 FL Practitioner - Nurse Practitioner 1456727429 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians
Advanced Healthcare Integration LLCGroup PAC ID 3476964438, 7 clinicians
My Choice Operating Company LLCGroup PAC ID 3779991542, 60 clinicians

Practice addresses (Care Compare)

2330 N Wickham Rd
Suite 12
Melbourne, FL 32935-8184
Phone (321) 633-3278

3270 Suntree Blvd
Suite 208
Melbourne, FL 32940-7505
Phone (321) 622-4877

4655 Salisbury Rd
Suite 220
Jacksonville, FL 32256-0959
Phone (904) 570-9404

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018488FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Practitioner Services LLC Family CurrentSince Dec 1, 2025 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Feb 1, 2025 Accepting new patients
Advanced Healthcare Integration LLC CurrentSince May 1, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

3270 Suntree Blvd
Ste 208
Melbourne, FL 32940
Phone (321) 622-4877

2330 N Wickham Rd
Ste 12
Melbourne, FL 32935

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1548917537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LOST LAKE CT",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718814",
            "telephone_number": "561-351-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N WICKHAM RD STE 12",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358184",
            "telephone_number": "321-633-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11018488",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.