Individual provider Active NPI

Shayna Real

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1588531941
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120818 Issued in FL
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

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111003296 FL Practitioner - Physician Assistant 9537650122 Reassigns benefits to 2 organizations

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
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians
FWC Urogynecology LLCGroup PAC ID 8022276542, 16 clinicians

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

LicenseStateTypeSpecialty
9120818FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FWC Urogynecology, LLC CurrentSince Dec 1, 2025 Accepting new patients
Florida Woman Care, LLC CurrentSince Nov 1, 2025 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.

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": "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

Verify at the official NPI Registry.