Individual provider Active NPI

Shannan L Veit, FNP-BC

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1619613437
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019201 Issued in FL
Practice address
401 W North Blvd
Leesburg, FL 34748-5044
Phone
(352) 728-4242
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11019201 FL Primary

Addresses

Primary practice location

401 W North Blvd
Leesburg, FL 34748-5044

Mailing address

401 W North Blvd
Leesburg, FL 34748-5044
Phone (352) 728-4242

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
I20220708002465 FL Practitioner - Nurse Practitioner 2567842412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Florida Primary Care PAGroup PAC ID 7416049044, 6 clinicians

Practice addresses (Care Compare)

401 W N Blvd
Leesburg, FL 34748-5044
Phone (352) 728-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11019201FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Primary Care PA CurrentSince Jun 6, 2022 Accepting new patients
Mid-Florida Primary Care PA CurrentSince Jun 6, 2022 Accepting new patients
Mid Florida Primary Care PA Current Accepting new patients

Locations

401 W North Blvd
Leesburg, FL 34748
Phone (352) 728-4242

501 E North Blvd
Leesburg, FL 34748
Phone (352) 431-3743

17809 SE 109th Ave
Summerfield, FL 34491
Phone (352) 307-4200

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1619613437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "352-728-4242",
            "fax_number": "352-728-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "352-728-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEIT",
        "first_name": "SHANNAN",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.