Individual provider Active NPI

Shannon Perez

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1609654821
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1812 N Mills Ave
Orlando, FL 32803-1834
Phone
(407) 897-3499
NPI assigned
Sep 19, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117944 FL
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

1812 N Mills Ave
Orlando, FL 32803-1834

Mailing address

1812 N Mills Ave
Orlando, FL 32803-1834

Other practice location 1

258 S Chickasaw Trl Ste 202
Orlando, FL 32825-3501
Phone (407) 303-6865

Other practice location 2

270 Northlake Blvd Ste 1008
Altamonte Springs, FL 32701-4335
Phone (407) 834-3300

Other practice location 3

400 Celebration Pl Ste A260
Celebration, FL 34747-4970
Phone (407) 764-4079

Other practice location 4

218 Strathy Ln
Winter Park, FL 32792-4133
Phone (407) 628-3073

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
I20231212001746 FL Practitioner - Physician Assistant 8527417898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1812 N Mills Ave
Orlando, FL 32803-1834
Phone (407) 897-3499

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Dec 4, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients

Locations

270 Northlake Blvd
Ste 1008
Altamonte Springs, FL 32701
Phone (407) 834-3300

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1812 N Mills Ave
Orlando, FL 32803
Phone (407) 897-3499

218 Strathy Ln
Winter Park, FL 32792
Phone (407) 628-3073

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smckeon806726@adventhealth.direct-ci.com

Organizations & group practices 2

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 2

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1609654821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031834",
            "telephone_number": "407-897-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 S Chickasaw Trl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328253501",
            "country_code": "US",
            "telephone_number": "407-303-6865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Northlake Blvd Ste 1008",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014335",
            "country_code": "US",
            "telephone_number": "407-834-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Celebration Pl Ste A260",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474970",
            "country_code": "US",
            "telephone_number": "407-764-4079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Strathy Ln",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924133",
            "country_code": "US",
            "telephone_number": "407-628-3073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117944",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.