Individual provider Active NPI

Shirley Blanco, NP-C

  • Family Nurse Practitioner
  • Navarre, FL
National Provider Identifier
1659913606
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004391 Issued in FL
Practice address
8880 Navarre Pkwy Ste 206
Navarre, FL 32566-3614
Phone
(448) 227-5360
NPI assigned
Oct 10, 2019
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 11004391 FL Primary

Addresses

Primary practice location

8880 Navarre Pkwy Ste 206
Navarre, FL 32566-3614

Mailing address

PO Box 95590
South Jordan, UT 84095-0590

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
I20191113003100 FL Practitioner - Nurse Practitioner 0042642092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Urgent Care, LLCGroup PAC ID 6406741297, 17 clinicians
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

5100 N 12TH Ave
Suite 101
Pensacola, FL 32504-8919
Phone (850) 208-6130

8880 Navarre Pkwy
Suite 206
Navarre, FL 32566-3614
Phone (850) 936-6211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004391FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Dec 20, 2024 Accepting new patients
Baptist Medical Group LLC CurrentSince Dec 20, 2024 Accepting new patients

Locations

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

8880 Navarre Pkwy
Ste 106
Navarre, FL 32566
Phone (448) 337-5350

8880 Navarre Pkwy
Ste 206
Navarre, FL 32566
Phone (850) 916-8697

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1659913606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NAVARRE PKWY STE 206",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663614",
            "telephone_number": "448-227-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "SHIRLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.