Shiji Aby, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Orlando, FL
NPI 1568079366 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1568079366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN11009285 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Citrus Cardiology Consultants, PLLC
Orlando Health Medical Group Inc
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
- Orlando Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111002153 | FL | Practitioner - Nurse Practitioner | 2769895895 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009285 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilbert Zeballos PA | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Pulmonary Group of Central Florida, LLC | Current |
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) 347-0600
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
- saby553762@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11009285 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11009285 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122325400 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdiaz@pgcf.zh.phimailbox.com |
Other providers in Orlando, FL
- Kasey Abueg
- Alonso Daniel Abugattas
- Khalid Abusaada
- Abused Families of Central Florida LLC
- Sadi A Abusrur
- Abz Transportation Corp
- Brooke Abzug
- Academy for Autism Inc.
- Kayla Acampado
- Acare Provider Services
All providers in Orlando, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.