Active NPI
Shayna Real
- Physician Assistant
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9120818
- Practice address
- 1265 Viscaya Pkwy
Cape Coral, FL 33990-3237 - Phone
- (239) 574-2229
- NPI assigned
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9120818 | FL | Primary |
Addresses
Primary practice location
1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Mailing address
2165 Van Buren St Apt 1408
Hollywood, FL 33020-5281
Phone (860) 989-6501
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone (239) 481-5437
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9120818 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FWC Urogynecology, LLC | Current | Accepting new patients | |
| Florida Woman Care, LLC | Current | Accepting new patients | |
| Womencare PA | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
5323 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 745-5115
1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337
1606 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-2229
3230 Forum Blvd
Fort Myers, FL 33905
Phone (239) 432-5858
9021 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 432-5858
11161 Health Park Blvd
Naples, FL 34110
Phone (239) 234-2620
32801 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 724-1966
7000 SW 62nd Ave
South Miami, FL 33143
Phone (305) 665-2060
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Tampa, FL
- NPI 1578859732
-
- Specialist
- Orlando, FL
- NPI 1366529042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1588531941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 VAN BUREN ST APT 1408",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330205281",
"telephone_number": "860-989-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 VISCAYA PKWY",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903237",
"telephone_number": "239-574-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAL",
"first_name": "SHAYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9120818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.