Individual provider Active NPI

Shiji Aby, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1568079366
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11009285 Issued in FL
Practice address
9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015
Phone
(321) 841-7856
Fax
(321) 843-6432
NPI assigned
Sep 25, 2020
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009285 FL
Adult Health Nurse Practitioner 363LA2200X APRN11009285 FL Primary

Addresses

Primary practice location

9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015

Mailing address

9430 Turkey Lake Rd Ste 110
Orlando, FL 32819-8015
Phone (321) 841-7856

Other practice location 1

1038 W North Blvd Ste 102
Leesburg, FL 34748-5077
Phone (352) 315-1627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdiaz@pgcf.zh.phimailbox.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111002153 FL Practitioner - Nurse Practitioner 2769895895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

910 Old Camp Rd
Suite 210
The Villages, FL 32162-5605
Phone (352) 751-3356

9430 Turkey Lake Rd
Suite 110
Orlando, FL 32819-8015
Phone (321) 841-7856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009285FLMDAdult Health Nurse Practitioner
11009285FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 15, 2024 Accepting new patients
Pulmonary Group of Central Florida, LLC CurrentSince Dec 1, 2020 Accepting new patients
Hilbert Zeballos PA CurrentSince Nov 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 15, 2024 Accepting new patients

Locations

1038 W North Blvd
Ste 102
Leesburg, FL 34748
Phone (352) 315-1627

10000 W Colonial Dr
Ste 387
Ocoee, FL 34761
Phone (407) 296-1823

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

9430 Turkey Lake Rd
Ste 110
Orlando, FL 32819
Phone (407) 370-8705

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jdiaz@pgcf.zh.phimailbox.com
  • Direct secure messaging: saby553762@direct.shands.ufl.edu

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.

Hospital & facility affiliations 1

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1568079366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "321-841-7856",
            "fax_number": "321-843-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "321-841-7856",
            "fax_number": "321-843-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 W North Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485077",
            "country_code": "US",
            "telephone_number": "352-315-1627",
            "fax_number": "352-326-8744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABY",
        "first_name": "SHIJI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009285",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11009285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdiaz@pgcf.zh.phimailbox.com",
            "affiliation": "N",
            "address_1": "1038 W North Blvd Ste 102",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347485077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.