Individual provider Active NPI

Shannon Stipancic, ARNP

  • Gerontology Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1659036481
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11018074 Issued in FL
Practice address
7154 Medical Center Dr
Spring Hill, FL 34608-1329
Phone
(352) 596-1926
Fax
(352) 597-2154
NPI assigned
Nov 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11018074 FL Primary
Nurse Practitioner 363L00000X RN9175221 FL

Addresses

Primary practice location

7154 Medical Center Dr
Spring Hill, FL 34608-1329

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

11063 County Line Rd
Spring Hill, FL 34609-5696
Phone (352) 688-7744

Other identifiers 1

IdentifierTypeStateIssuer
1659036481MedicaidFL

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
I20220630002697 FL Practitioner - Nurse Practitioner 3173903549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9175221FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 20, 2024 Accepting new patients
Sunstate Healthcare LLC CurrentSince Jul 8, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

7154 Medical Center Dr
Fl Cancer
Spring Hill, FL 34608
Phone (352) 596-1926

7154 Medical Center Dr
Spring Hill, FL 34608
Phone (352) 596-1926

11063 County Line Rd
Spring Hill, FL 34609
Phone (352) 683-8178

11063 County Line Rd
Fl Cancer
Spring Hill, FL 34609
Phone (352) 688-7744

12120 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 559-8849

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1659036481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 MEDICAL CENTER DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081329",
            "telephone_number": "352-596-1926",
            "fax_number": "352-597-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11063 County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095696",
            "country_code": "US",
            "telephone_number": "352-688-7744",
            "fax_number": "352-688-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIPANCIC",
        "first_name": "SHANNON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11018074",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9175221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659036481",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.