Active NPI
Shelby Leigh Augustin, MSN, APRN, FNP-C, RN
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000397
- Practice address
- 3101 University Blvd S Ste 102
Jacksonville, FL 32216-2750 - Phone
- (904) 737-1171
- Fax
- (904) 390-7493
- NPI assigned
- Feb 27, 2019
- Last updated
- Dec 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11000397 | FL | Primary |
Addresses
Primary practice location
3101 University Blvd S Ste 102
Jacksonville, FL 32216-2750
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032
Other names 1
- Mrs. Shelby Leigh Augustin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1394 John Sims Pkwy E
Niceville, FL 32578-2208
Phone (850) 517-1920
1922 University Blvd S
Jacksonville, FL 32216-8933
Phone (904) 721-7844
4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11000397 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Baptist Primary Care Inc | Family | Current | Accepting new patients |
| Baptist Primary Care Inc. | Current | Accepting new patients |
Locations
1660 Prudential Dr
Ste 400
Jacksonville, FL 32207
Phone (904) 396-0000
1922 University Blvd S
Jacksonville, FL 32216
Phone (904) 721-7691
3101 University Blvd S
Ste 102
Jacksonville, FL 32216
Phone (904) 737-1171
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050
3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610
Interoperability endpoints
- saugustin20999@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1790086593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1659838555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 UNIVERSITY BLVD S STE 102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162750",
"telephone_number": "904-737-1171",
"fax_number": "904-390-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "SHELBY",
"middle_name": "LEIGH",
"credential": "MSN, APRN, FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11000397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "AUGUSTIN",
"middle_name": "LEIGH",
"prefix": "MRS.",
"credential": "SHELBY HARDEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.