Active NPI
Shelbie Manna
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11008963
- Practice address
- 1717 S Orange Ave Ste 103
Orlando, FL 32806-2946 - Phone
- (321) 841-4344
- Fax
- (321) 843-1753
- NPI assigned
- Sep 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11008963 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11008963 | FL | Primary |
Addresses
Primary practice location
1717 S Orange Ave Ste 103
Orlando, FL 32806-2946
Mailing address
1717 S Orange Ave Ste 103
Orlando, FL 32806-2946
Phone (321) 841-4344
Other practice location 1
225 W State Road 434 Ste 203
Longwood, FL 32750-4980
Phone (844) 699-2273
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
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
89 W Copeland Dr
FL 3
Orlando, FL 32806-2002
Phone (321) 841-2425
Hospital & facility affiliations
- Orlando Health
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
- Orlando Health St Cloud Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008963 | FL | MD | Adult Health Nurse Practitioner |
| 11008963 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
1717 S Orange Ave
Ste 103
Orlando, FL 32806
Phone (407) 236-0404
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
89 W Copeland Dr
Fl 3
Orlando, FL 32806
Phone (321) 841-3040
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- smanna23431@orlandohealth.medalliesdirect.net
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1629683586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S ORANGE AVE STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062946",
"telephone_number": "321-841-4344",
"fax_number": "321-843-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S ORANGE AVE STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062946",
"telephone_number": "321-841-4344",
"fax_number": "321-843-1753"
}
],
"practiceLocations": [
{
"address_1": "225 W State Road 434 Ste 203",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327504980",
"country_code": "US",
"telephone_number": "844-699-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNA",
"first_name": "SHELBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008963",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11008963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.