Individual provider Active NPI

Shelby Leigh Augustin, MSN, APRN, FNP-C, RN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1659838555
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000397 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190409001603 FL Practitioner - Nurse Practitioner 9234470840 Reassigns benefits to 2 organizations
I20230922003537 IA Practitioner - Nurse Practitioner 9234470840 Reassigns benefits to 1 organization
I20241104002812 IL Practitioner - Nurse Practitioner 9234470840 Reassigns benefits to 1 organization

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
Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

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

LicenseStateTypeSpecialty
APRN11000397FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Apr 1, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 25, 2023 Accepting new patients
Baptist Primary Care Inc Family Current Accepting new patients
Baptist Primary Care Inc. CurrentSince Apr 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.